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自发性大肠杆菌性脓胸:非肝硬化、免疫功能正常个体中的罕见病例

Spontaneous Escherichia coli Empyema Thoracis: An Unusual Occurrence in a Non-cirrhotic, Immunocompetent Individual.

作者信息

Sabir Riffat, Umar Muhammad, Ali Mehak

机构信息

Internal Medicine, Baystate Medical Center, Springfield, USA.

Hospital Medicine, Baystate Medical Center, Springfield, USA.

出版信息

Cureus. 2022 Jul 6;14(7):e26618. doi: 10.7759/cureus.26618. eCollection 2022 Jul.

DOI:10.7759/cureus.26618
PMID:35949758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9356649/
Abstract

Spontaneous bacterial empyema is a spontaneous infection of the pleural cavity in the absence of pneumonia, typically seen in patients with liver cirrhosis and preexisting hepatic hydrothorax. Empyema thoracis caused by () is a rare clinical finding and, in most cases, a consequence of pneumonia. Spontaneous bacterial empyema secondary to in a non-cirrhotic individual is an unusual association, rarely described in the literature. To the best of our knowledge, this is the first case of spontaneous bacterial empyema thoracis in a non-cirrhotic, immunocompetent individual with a complex medical history including pulmonary thromboembolism, oropharyngeal dysphagia, and a high aspiration risk of oropharyngeal secretions.

摘要

自发性细菌性脓胸是指在无肺炎的情况下胸膜腔的自发性感染,常见于肝硬化及既往有肝性胸水的患者。由()引起的脓胸是一种罕见的临床发现,在大多数情况下是肺炎的后果。非肝硬化个体继发于()的自发性细菌性脓胸是一种不寻常的关联,文献中很少描述。据我们所知,这是首例非肝硬化、免疫功能正常且有复杂病史(包括肺血栓栓塞、口咽吞咽困难和口咽分泌物误吸风险高)的个体发生自发性细菌性脓胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/82dcb8566894/cureus-0014-00000026618-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/89339c350420/cureus-0014-00000026618-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/606134c25fb6/cureus-0014-00000026618-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/9d113162298d/cureus-0014-00000026618-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/82dcb8566894/cureus-0014-00000026618-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/89339c350420/cureus-0014-00000026618-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/606134c25fb6/cureus-0014-00000026618-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/9d113162298d/cureus-0014-00000026618-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48d/9356649/82dcb8566894/cureus-0014-00000026618-i04.jpg

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Accuracy and reproducibility of CT right-to-left ventricular diameter measurement in patients with acute pulmonary embolism.急性肺栓塞患者CT测量右心室与左心室直径的准确性和可重复性。
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Spontaneous bacterial empyema in liver cirrhosis: an underdiagnosed pleural complication.肝硬化患者的自发性细菌性脓胸:一种诊断不足的胸膜并发症。
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