Department of Medicine, Weill Cornell Medicine, New York, NY, USA
Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
BMJ Case Rep. 2022 Apr 6;15(4):e248844. doi: 10.1136/bcr-2022-248844.
is a micro-organism well known to cause pseudomembranous colitis with rare extraintestinal manifestations. We present the case of an elderly male with multiple comorbidities who presented with acute onset of fever/chills and hypotension, found to have polymicrobial bacteraemia with and He was treated with piperacillin/tazobactam for bacteraemia, oral vancomycin for colitis and intravenous, followed by oral metronidazole for bacteraemia. cleared after 1 day, and cleared after 4 days. Following an initial septic presentation, he responded appropriately to antimicrobial therapy and did well in follow-up.
艰难梭菌是一种众所周知的微生物,可引起假膜性结肠炎,很少有肠道外表现。我们报告了一例老年男性病例,该患者有多种合并症,表现为急性发热/寒战和低血压,发现有多种微生物菌血症,包括 和 。他接受了哌拉西林/他唑巴坦治疗菌血症 14 天,口服万古霉素治疗结肠炎 10 天,静脉注射甲硝唑,随后口服甲硝唑 7 天。1 天后, 清除,4 天后 清除。在最初的败血症表现后,他对抗菌治疗有适当反应,随访情况良好。