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伪装成卵巢肿瘤:一例因高毒力感染导致的子宫脓肿罕见病例

Disguised as Ovarian Tumor: A Rare Case of Uterine Abscess Due to Hypervirulent Infection.

作者信息

Kamau Edwin, Ranson Elizabeth L, Zakhour Mae, Mayo Mark S, Sakona Ashlyn N, Allyn Paul R, Yang Shangxin

机构信息

Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, California, USA.

Division of Infectious Diseases, UCLA David Geffen School of Medicine, Los Angeles, California, USA.

出版信息

Open Forum Infect Dis. 2022 Jun 30;9(7):ofac321. doi: 10.1093/ofid/ofac321. eCollection 2022 Jul.

DOI:10.1093/ofid/ofac321
PMID:35899277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9310266/
Abstract

Hypervirulent (hvKp) causes invasive infections in the community setting. We report a rare case of uterine abscess due to hvKp, which appeared as a large-sized ovarian tumor-like pelvic mass. A timely laboratory warning of possible hvKp prompted correct diagnosis and helped guide perioperative decision making, contributing to successful treatment.

摘要

高毒力肺炎克雷伯菌(hvKp)可在社区环境中引起侵袭性感染。我们报告了一例罕见的因hvKp导致的子宫脓肿病例,该脓肿表现为巨大的卵巢肿瘤样盆腔肿物。及时的实验室发出的关于可能为hvKp的警示促使了正确诊断,并有助于指导围手术期决策,从而促成了成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd0/9310266/c6ecdb6eed3d/ofac321f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd0/9310266/c6ecdb6eed3d/ofac321f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd0/9310266/c6ecdb6eed3d/ofac321f1.jpg

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本文引用的文献

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Detection of multiple hypervirulent Klebsiella pneumoniae strains in a New York City hospital through screening of virulence genes.通过筛选毒力基因在纽约市一家医院中检测到多种高毒力肺炎克雷伯菌菌株。
Clin Microbiol Infect. 2021 Apr;27(4):583-589. doi: 10.1016/j.cmi.2020.05.012. Epub 2020 May 24.
2
Hypervirulent Klebsiella pneumoniae - clinical and molecular perspectives.高毒力肺炎克雷伯菌:临床与分子视角
J Intern Med. 2020 Mar;287(3):283-300. doi: 10.1111/joim.13007. Epub 2019 Nov 21.
3
Hypervirulent Klebsiella pneumoniae.高毒力肺炎克雷伯菌。
Clin Microbiol Rev. 2019 May 15;32(3). doi: 10.1128/CMR.00001-19. Print 2019 Jun 19.
4
Identification of Biomarkers for Differentiation of Hypervirulent Klebsiella pneumoniae from Classical K. pneumoniae.鉴定高毒力肺炎克雷伯菌与经典肺炎克雷伯菌的生物标志物。
J Clin Microbiol. 2018 Aug 27;56(9). doi: 10.1128/JCM.00776-18. Print 2018 Sep.
5
Experience of Tubo-Ovarian Abscess: A Retrospective Clinical Analysis of 318 Patients in a Single Tertiary Center in Middle Turkey.输卵管卵巢脓肿的经验:土耳其中部一家三级中心318例患者的回顾性临床分析
Surg Infect (Larchmt). 2018 Jan;19(1):54-60. doi: 10.1089/sur.2017.215. Epub 2017 Nov 17.
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