迟缓爱德华氏菌感染引起的胃黏膜下脓肿：一例报告
Gastric submucosal abscess caused by Edwardsiella tarda infection: a case report.
作者信息
Ota Koshi, Yamanoue Hiroki, Aizawa Nobuyuki, Suzuki Naoyuki, Ota Kanna, Takasu Akira
机构信息
Department of Emergency Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 596-8686, Japan.
Shizuoka Tokushukai Hospital, Shizuoka, Japan.
出版信息
BMC Gastroenterol. 2020 Sep 14;20(1):299. doi: 10.1186/s12876-020-01446-1.
BACKGROUND
Edwardsiella tarda is a motile, facultatively anaerobic gram-negative bacillus that is isolated from a wide spectrum of animals in aquatic environments but rarely causes infection in humans. Here, we describe the case of a gastric submucosal abscess caused by E. tarda infection.
CASE PRESENTATION
The patient was a 74-year-old man with a history of hypertension and chronic alcohol consumption who was admitted to our hospital for abdominal pain, appetite loss and vomiting. Contrast-enhanced computed tomography (CT) revealed choledocholithiasis in the common bile duct, a gastric wall abscess and an intra-abdominal abscess. Endoscopic ultrasound (EUS)-guided drainage with antibiotics successfully cured the patient.
CONCLUSION
The combination of CT, endoscopy and EUS-guided drainage with antibiotic therapy might be effective for diagnosis and treatment of a gastric submucosal abscess caused by E. tarda infection.
背景
迟缓爱德华氏菌是一种运动性、兼性厌氧的革兰氏阴性杆菌，可从水生环境中的多种动物分离得到，但很少引起人类感染。在此，我们描述一例由迟缓爱德华氏菌感染引起的胃黏膜下脓肿病例。
病例介绍
患者为一名74岁男性，有高血压和长期饮酒史，因腹痛、食欲减退和呕吐入院。增强计算机断层扫描（CT）显示胆总管结石、胃壁脓肿和腹腔内脓肿。内镜超声（EUS）引导下引流联合抗生素治疗成功治愈了该患者。
结论
CT、内镜检查以及EUS引导下引流联合抗生素治疗可能对迟缓爱德华氏菌感染引起的胃黏膜下脓肿的诊断和治疗有效。
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