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一例持续性菌血症延迟诊断病例说明经验性影像学检查的重要性。

A case of delayed diagnosis in persistent bacteremia illustrating the importance of empiric imaging.

作者信息

Ismail Arif, Cooper Ryan

机构信息

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

出版信息

J Assoc Med Microbiol Infect Dis Can. 2019 Jun 17;4(2):121-124. doi: 10.3138/jammi.2018-0045. eCollection 2019 Jun.

Abstract

We present a case of persistent bacteremia (SAB) with delayed diagnosis of deep-seated asymptomatic abscesses leading to an unnecessarily prolonged hospital stay and significant morbidity. This case suggests that early empiric nuclear imaging might have led to earlier source control and, in turn, reduced morbidity. In addition, the case illustrates that even with a presumed superficial source of infection, one should still search thoroughly for additional and perhaps clinically occult secondary foci in patients with high-risk SAB.

摘要

我们报告了一例持续性菌血症(SAB)病例,深部无症状脓肿诊断延迟,导致不必要的住院时间延长和严重发病。该病例表明,早期经验性核成像可能会实现更早的源头控制,进而降低发病率。此外,该病例说明,即使假定感染源为浅表性,对于高危SAB患者,仍应彻底寻找其他可能临床上隐匿的继发病灶。

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