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多发性骨髓瘤患者的念珠菌诱发的气肿性胃炎:保守治疗取得良好疗效

Candida-Induced Emphysematous Gastritis in a Multiple Myeloma Patient: Conservative Management With Favorable Outcome.

作者信息

Patel Harshkumar, Buchanan Faith, Chai Christina

机构信息

Internal Medicine, MedStar Washington Hospital Center, Washington, D.C., USA.

Internal Medicine/Hospital Medicine, MedStar Washington Hospital Center, Washington, D.C., USA.

出版信息

Cureus. 2021 Oct 5;13(10):e18508. doi: 10.7759/cureus.18508. eCollection 2021 Oct.

DOI:10.7759/cureus.18508
PMID:34754668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8569685/
Abstract

Emphysematous gastritis is a rare, and often fatal, infection with unclear recommendations on management. We report the first documented case of emphysematous gastritis caused by  species in a patient on chemotherapy for multiple myeloma. Our patient, who presented with gastrointestinal symptoms was found to have gas in the stomach wall, peri-gastric, and portal veins on CT scan. Nasogastric tube cultures grew  and and the patient was treated with antibiotics and antifungals. Prompt recognition and conservative management led to a favorable outcome.

摘要

气肿性胃炎是一种罕见且常致命的感染,关于其治疗尚无明确建议。我们报告了首例记录在案的由 菌种引起的气肿性胃炎病例,该患者正在接受多发性骨髓瘤化疗。我们的患者出现胃肠道症状,CT扫描发现胃壁、胃周和门静脉有气体。鼻胃管培养物培养出 和 ,患者接受了抗生素和抗真菌药物治疗。及时识别和保守治疗取得了良好的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/6e928a85d513/cureus-0013-00000018508-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/0dc1aa48992f/cureus-0013-00000018508-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/a03c1b147e87/cureus-0013-00000018508-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/6e928a85d513/cureus-0013-00000018508-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/0dc1aa48992f/cureus-0013-00000018508-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/a03c1b147e87/cureus-0013-00000018508-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f41/8569685/6e928a85d513/cureus-0013-00000018508-i03.jpg

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Emphysematous gastritis.气肿性胃炎

本文引用的文献

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2
Emphysematous gastritis: a terrifying presentation.气肿性胃炎:一种可怕的表现。
BMJ Case Rep. 2020 Dec 13;13(12):e239208. doi: 10.1136/bcr-2020-239208.
3
Emphysematous Gastritis.气肿性胃炎
BMJ Case Rep. 2022 Aug 12;15(8):e251314. doi: 10.1136/bcr-2022-251314.
J Am Osteopath Assoc. 2019 Dec 1;119(12):848. doi: 10.7556/jaoa.2019.140.
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Emphysematous gastritis: A case series of three patients managed conservatively.气肿性胃炎:三例保守治疗病例系列
Int J Surg Case Rep. 2019;64:80-84. doi: 10.1016/j.ijscr.2019.09.046. Epub 2019 Oct 7.
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Elotuzumab plus Pomalidomide and Dexamethasone for Multiple Myeloma.埃罗妥珠单抗联合泊马度胺和地塞米松治疗多发性骨髓瘤。
N Engl J Med. 2018 Nov 8;379(19):1811-1822. doi: 10.1056/NEJMoa1805762.
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