病例报告：一名年轻健康男性因阑尾炎引发金黄色葡萄球菌和肺炎克雷伯菌菌血症。
Case report: appendicitis induced Staphylococcus aureus and Klebsiella pneumoniae bacteremia in a young healthy male.
作者信息
Deodatus Jan Arne, Paas Sander Ferdinand Emiel, Wagenvoort Gerrit Hendrik Johan, de Kubber Marije Matilde
机构信息
Isala Hospital, Dokter van Heesweg 2, 8025, AB, Zwolle, The Netherlands.
出版信息
Int J Emerg Med. 2021 Jul 19;14(1):36. doi: 10.1186/s12245-021-00358-5.
BACKGROUND
Appendicitis is one of the most frequently encountered conditions at the emergency department. Distinction is made between complicated and uncomplicated appendicitis. Complicated appendicitis may cause serious intra-abdominal infection, bacteremia, or sepsis. Emergency health providers should be highly alert to any early signs indicating such complications.
CASE PRESENTATION
We present the case of a healthy young male with a gangrenous appendicitis, who received antibiotics and underwent appendectomy. Blood cultures showed unequivocal Staphylococcus aureus and concomitant Klebsiella pneumoniae bacteremia requiring prolonged antibiotic treatment and further diagnostic evaluation.
CONCLUSIONS
Although rare, appendicitis can cause Staphylococcus aureus and Klebsiella pneumoniae bacteremia with extensive implications for workup and antibiotic management. Our case stresses the importance of obtaining cultures in patients with suspicion of bacteremia given its consequences for clinical management.
背景
阑尾炎是急诊科最常遇到的病症之一。阑尾炎分为复杂性阑尾炎和非复杂性阑尾炎。复杂性阑尾炎可能导致严重的腹腔内感染、菌血症或败血症。急诊医护人员应高度警惕任何表明此类并发症的早期迹象。
病例介绍
我们报告一例患有坏疽性阑尾炎的健康年轻男性病例，该患者接受了抗生素治疗并接受了阑尾切除术。血培养明确显示金黄色葡萄球菌和肺炎克雷伯菌合并菌血症，需要延长抗生素治疗时间并进行进一步的诊断评估。
结论
尽管罕见，但阑尾炎可导致金黄色葡萄球菌和肺炎克雷伯菌菌血症，对检查和抗生素管理有广泛影响。我们的病例强调了对疑似菌血症患者进行培养的重要性，因为这对临床管理有影响。
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