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Multi-system : A tale of destruction form lung to eye.

作者信息

Basnayake Oshan, Jayarajah Umesh, Gunawardena Kawmadi, Sivaganesh Sivasuriya

机构信息

University Surgical Unit, Faculty of Medicine, University of Colombo, Sri Lanka, Colombo, Sri Lanka.

University Medical Unit, Faculty of Medicine, University of Colombo, Sri Lanka, Colombo, Sri Lanka.

出版信息

SAGE Open Med Case Rep. 2022 Jun 16;10:2050313X221105157. doi: 10.1177/2050313X221105157. eCollection 2022.

DOI:10.1177/2050313X221105157
PMID:35747243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9210103/
Abstract

, found in the gastrointestinal flora is a causative agent of hospital-acquired infections. Although isolated organ infections are common, reports of multi-system involvement are rare. We report on a susceptible patient presenting with disseminated infection with concurrent multi-organ disease involving the lung, liver, prostate and eye. He recovered after prolonged therapy but suffered from permanent sequalae. Early diagnosis and aggressive therapy is facilitated by awareness and a high degree of suspicion in at-risk patient groups.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b9/9210103/1c0cd16df155/10.1177_2050313X221105157-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b9/9210103/1f48689dd525/10.1177_2050313X221105157-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b9/9210103/1c0cd16df155/10.1177_2050313X221105157-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b9/9210103/1f48689dd525/10.1177_2050313X221105157-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b9/9210103/1c0cd16df155/10.1177_2050313X221105157-fig2.jpg

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本文引用的文献

1
Hypervirulent Endogenous Endophthalmitis-A Global Emerging Disease.高毒力内源性眼内炎——一种全球新出现的疾病
Life (Basel). 2021 Jul 10;11(7):676. doi: 10.3390/life11070676.
2
Virulence Factors in Hypervirulent .高毒力菌株中的毒力因子
Front Microbiol. 2021 Apr 8;12:642484. doi: 10.3389/fmicb.2021.642484. eCollection 2021.
3
Infectious Sources, Prognostic Factors, and Visual Outcomes of Endogenous Klebsiella pneumoniae Endophthalmitis.内源性肺炎克雷伯菌眼内炎的感染源、预后因素及视力预后
Ophthalmol Retina. 2018 Aug;2(8):771-778. doi: 10.1016/j.oret.2017.11.013. Epub 2018 Jan 10.
4
Liver Abscess.肝脓肿
Infect Chemother. 2018 Sep;50(3):210-218. doi: 10.3947/ic.2018.50.3.210.
5
Multimodality Imaging of Liver Infections: Differential Diagnosis and Potential Pitfalls.肝脏感染的多模态成像:鉴别诊断及潜在陷阱
Radiographics. 2016 Jul-Aug;36(4):1001-23. doi: 10.1148/rg.2016150196. Epub 2016 May 27.
6
Predictors of septic metastatic infection and mortality among patients with Klebsiella pneumoniae liver abscess.肺炎克雷伯菌肝脓肿患者发生脓毒性转移性感染及死亡的预测因素。
Clin Infect Dis. 2008 Sep 1;47(5):642-50. doi: 10.1086/590932.
7
Risk factors for endogenous Klebsiella endophthalmitis in patients with Klebsiella bacteraemia: a case-control study.克雷伯菌血症患者发生内源性克雷伯菌眼内炎的危险因素:一项病例对照研究。
Br J Ophthalmol. 2008 May;92(5):673-7. doi: 10.1136/bjo.2007.132522. Epub 2008 Feb 1.
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The changing face of Klebsiella pneumoniae infections in the community.社区中肺炎克雷伯菌感染情况的变化
Int J Antimicrob Agents. 2007 Nov;30(5):385-9. doi: 10.1016/j.ijantimicag.2007.06.019. Epub 2007 Aug 22.
9
Klebsiella pneumoniae genotype K1: an emerging pathogen that causes septic ocular or central nervous system complications from pyogenic liver abscess.肺炎克雷伯菌基因型K1:一种新兴病原体,可导致化脓性肝脓肿引发感染性眼部或中枢神经系统并发症。
Clin Infect Dis. 2007 Aug 1;45(3):284-93. doi: 10.1086/519262. Epub 2007 Jun 19.
10
Pyogenic liver abscess caused by Klebsiella pneumoniae: analysis of the clinical characteristics and outcomes of 84 patients.肺炎克雷伯菌所致肝脓肿:84例患者临床特征及结局分析
Chin Med J (Engl). 2007 Jan 20;120(2):136-9.