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鸡还是蛋?一例交感神经性金黄色葡萄球菌性脓胸合并脾脓肿病例。

The chicken or the egg? A case of sympathetic staphylococcal empyema thoracis and splenic abscess.

作者信息

Kutywayo Kudzayi H, Thekkudan Joyce, Chowdhry Mohammed Fiyaz

机构信息

Department of Thoracic Surgery, Glenfield Hospital, Leicester, UK.

出版信息

J Surg Case Rep. 2021 Nov 11;2021(11):rjaa541. doi: 10.1093/jscr/rjaa541. eCollection 2021 Nov.

Abstract

Multicavitary abscesses are uncommon in immunocompetent individuals. Splenic abscesses being relatively uncommon with an incidence of 0.1-0.7% in quoted series [ 1]. Commonly reported cases are secondary infective endocarditis. To have both a splenic abscess and empyema concurrently is rare. We describe a case of a patient with a large left-sided empyema thoracis and concurrent splenic abscess.

摘要

多腔性脓肿在免疫功能正常的个体中并不常见。脾脓肿相对少见,在引用的系列报道中发病率为0.1 - 0.7%[1]。常见的报道病例是继发性感染性心内膜炎。同时患有脾脓肿和脓胸的情况极为罕见。我们描述了一例左侧大量胸腔积脓并伴有脾脓肿的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1b9/8599044/e0ef270eb259/rjaa541f1.jpg

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本文引用的文献

1
Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution.脾脓肿:一种罕见且可能危及生命的病症。
Can J Infect Dis Med Microbiol. 2018 Jan 31;2018:8610657. doi: 10.1155/2018/8610657. eCollection 2018.
2
Current State of Empyema Management.当前脓胸管理现状。
Ann Thorac Surg. 2018 Jun;105(6):1589-1596. doi: 10.1016/j.athoracsur.2018.02.027. Epub 2018 Mar 14.
3
Transphrenic dissemination of actinomycosis.放线菌病的经膈播散
Thorax. 1996 Apr;51(4):449-50. doi: 10.1136/thx.51.4.449.

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