严重感染患者息肉切除术后发热：两例报告
Postpolypectomy fever in patients with serious infection: a report of two cases.
作者信息
Jing Wang, Qinghua Li, Zhiwen Yang
机构信息
Department of Gastroenterology, Songjiang District Central Hospital, Shanghai, China.
Department of Pharmacy, Songjiang District Central Hospital, Shanghai, 201600, China.
出版信息
BMC Gastroenterol. 2022 Mar 29;22(1):156. doi: 10.1186/s12876-022-02218-9.
BACKGROUND
Postpolypectomy fever (PPF) is a rare complication in patients after colonoscopy. Because of the absence of evidence of microperforation and abdominal tenderness, patients with PPF usually present mild clinical symptoms with a good prognosis.
CASE PRESENTATION
In this study, all patients who underwent colonoscopic examination in our hospital between January 2019 and December 2019 were enrolled. Of these, two patients developed PPF after polypectomy, exhibiting serious infection without definitive fever foci. One patient experienced rapidly aggravated type 1 respiratory failure and abnormal hepatic function, which were attributed to colonoscopy-associated infection. After active antibiotic therapy, both patients were discharged without any complications.
CONCLUSIONS
In summary, our study provides novel insights into patients with PPF who develop serious infections with life-threatening complications.
背景
息肉切除术后发热（PPF）是结肠镜检查后患者罕见的并发症。由于缺乏微小穿孔和腹部压痛的证据，PPF患者通常表现出轻微的临床症状，预后良好。
病例介绍
在本研究中，纳入了2019年1月至2019年12月期间在我院接受结肠镜检查的所有患者。其中，两名患者在息肉切除术后发生PPF，表现为严重感染且无明确发热病灶。一名患者出现1型呼吸衰竭迅速加重和肝功能异常，这归因于结肠镜检查相关感染。经过积极的抗生素治疗，两名患者均无任何并发症出院。
结论
总之，我们的研究为发生严重感染并伴有危及生命并发症的PPF患者提供了新的见解。
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