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子宫内膜恶性肿瘤背景下产气荚膜梭菌菌血症伴急性溶血性贫血

Clostridium Perfringens Bacteremia with Acute Hemolytic Anemia in the Setting of Endometrial Malignancy.

作者信息

Cypher Luke R, Sullivan Christopher, Jones Ryan, Phillips Angelina

出版信息

Acad Forensic Pathol. 2019 Mar;9(1-2):127-133. doi: 10.1177/1925362119851240. Epub 2019 Sep 6.

Abstract

Acute intravascular hemolysis is a rare and often lethal complication of Clostridium perfringens septicemia.Clostridium perfringens is an anaerobic, gram-positive spore-forming rod which is commonly implicated in cases of food poisoning, gas gangrene, and severe hemolytic anemia in humans via the alpha-toxin (phospholipase C). We report an interesting and rare case of a 72-year-old woman who developed massive intravascular hemolysis secondary to C perfringens bacteremia in the setting of poorly differentiated high-grade endometrial malignancy.

摘要

急性血管内溶血是产气荚膜梭菌败血症罕见且常致命的并发症。产气荚膜梭菌是一种厌氧、革兰氏阳性、形成芽孢的杆菌,通过α毒素(磷脂酶C)常与人类食物中毒、气性坏疽及严重溶血性贫血病例相关。我们报告了一例有趣且罕见的病例,一名72岁女性在低分化高级别子宫内膜恶性肿瘤背景下,继发产气荚膜梭菌菌血症后发生大量血管内溶血。

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