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一例非伤寒性胸膜肺型沙门氏菌病的罕见病例。

An unusual case of non-typhi pleuropulmonary salmonellosis.

作者信息

Sullivan Abigayle, Zachariah Shilla, Agarwal Pallak, Young David

机构信息

Department of Pulmonary and Critical Care, Reading Hospital, Tower Health System, PA, United States.

Department of Cardiology, Reading Hospital, Tower Health System, PA, United States.

出版信息

Respir Med Case Rep. 2022 Sep 13;39:101739. doi: 10.1016/j.rmcr.2022.101739. eCollection 2022.

DOI:10.1016/j.rmcr.2022.101739
PMID:36148407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9486106/
Abstract

A middle-aged man with rheumatoid arthritis, without pulmonary involvement, on disease-modifying antirheumatic drugs (DMARD) presented with right sided pleuritic chest pain due to recurrent, right sided, loculated pleural effusion. was isolated from pleural fluid sampling and the patient was successfully treated with open thoracotomy with decortication and six weeks of antibiotic therapy. Pulmonary salmonellosis is a rare infection typically found in immunocompromised patients that typically presents abruptly and requires prolonged antibiotic therapy.

摘要

一名患有类风湿性关节炎的中年男子,未累及肺部,正在使用改善病情抗风湿药物(DMARD)治疗,因右侧反复出现局限性胸腔积液而出现右侧胸膜炎性胸痛。胸腔积液样本中分离出[具体病菌未给出],患者通过开胸剥脱术和六周的抗生素治疗成功治愈。肺部沙门氏菌感染是一种罕见的感染,通常见于免疫功能低下的患者,通常起病突然,需要长期抗生素治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/91681b10a7b3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/a6fa047a302e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/6a8603554014/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/91681b10a7b3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/a6fa047a302e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/6a8603554014/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc4/9486106/91681b10a7b3/gr3.jpg

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本文引用的文献

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empyema: a case report.脓胸:一例病例报告。
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2
The Risk of Immunosuppression: A Case of Meningitis.免疫抑制的风险:一例脑膜炎病例
Case Rep Infect Dis. 2018 May 21;2018:4874575. doi: 10.1155/2018/4874575. eCollection 2018.
3
Salmonella pneumonia complicated with encysted empyema in an immunocompromised youth: Case report and literature Review.一名免疫功能低下青年的沙门氏菌肺炎合并包裹性脓胸:病例报告及文献综述
J Infect Dev Ctries. 2016 Apr 28;10(4):437-44. doi: 10.3855/jidc.7069.
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Non-typhoidal Salmonella group D bacteremia and urosepsis in a patient diagnosed with HIV Infection.一名被诊断为感染艾滋病毒的患者发生非伤寒沙门氏菌D群菌血症和泌尿道感染。
J Glob Infect Dis. 2012 Oct;4(4):218-9. doi: 10.4103/0974-777X.103902.
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Tube thoracostomy: complications and its management.胸腔闭式引流术:并发症及其处理
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Non-typhi Salmonella empyema: case report and review of the literature.非伤寒沙门菌性脓胸:病例报告及文献复习
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Chronic empyema due to Salmonella oranienburg; complication of an old chest wound.由奥兰宁堡沙门氏菌引起的慢性脓胸;陈旧性胸部伤口的并发症。
Can Med Assoc J. 1958 Apr 15;78(8):599-602.
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Severe lung lesions caused by Salmonella are prevented by inhibition of the contact system.通过抑制接触系统可预防由沙门氏菌引起的严重肺部病变。
J Exp Med. 2000 Nov 20;192(10):1415-24. doi: 10.1084/jem.192.10.1415.
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Extra-intestinal manifestations of salmonella infections.沙门氏菌感染的肠外表现
Medicine (Baltimore). 1987 Sep;66(5):349-88. doi: 10.1097/00005792-198709000-00003.
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Pleuropulmonary infections due to nontyphoid strains of Salmonella.非伤寒沙门氏菌引起的胸膜肺部感染。
Arch Intern Med. 1990 Jan;150(1):54-6.