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Clinical characteristics and prognostic factors of extraintestinal infection caused by Clostridioides difficile: analysis of 60 consecutive cases.艰难梭菌引起的肠道外感染的临床特征和预后因素:60 例连续病例分析。
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Trends in U.S. Burden of Infection and Outcomes.美国感染负担和结局的趋势。
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9
Fatal community-acquired ribotype 002 Clostridium difficile bacteremia.致命的社区获得性核糖型002艰难梭菌菌血症。
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10
High morbidity and mortality of Clostridium difficile infection and its associations with ribotype 002 in Hong Kong.香港艰难梭菌感染的高发病率和死亡率及其与 002 型的关联。
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老年人在使用抗生素后发生 和 混合菌血症。

Polymicrobial bacteraemia with and in an elderly man following antibiotic use.

机构信息

Department of Medicine, Weill Cornell Medicine, New York, NY, USA

Department of Medicine, Weill Cornell Medicine, New York, NY, USA.

出版信息

BMJ Case Rep. 2022 Apr 6;15(4):e248844. doi: 10.1136/bcr-2022-248844.

DOI:10.1136/bcr-2022-248844
PMID:35387793
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8987676/
Abstract

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.

摘要

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。