一名儿科患者内镜逆行胰胆管造影术和胆囊切除术后的菌血症：病例报告
bacteremia post-ERCP and cholecystectomy in a pediatric patient: A case report.
作者信息
Popov Jelena, Strikwerda Arend, Gubbay Jonathan, Pai Nikhil
机构信息
Division of Gastroenterology & Nutrition, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
College of Medicine and Health, University College Cork, Cork, Ireland, Canada.
出版信息
J Assoc Med Microbiol Infect Dis Can. 2019 Oct 11;4(3):182-186. doi: 10.3138/jammi.2018-0027. eCollection 2019 Oct.
Abstract
is a species that is commonly found in the human respiratory tract. It is an uncommon cause of gastrointestinal infection and bacteremia. Here, we present the case of a 17-year-old boy who developed bacteremia and intraabdominal abscess after endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy followed by elective cholecystectomy within 3 days. The patient was successfully treated with IV ceftriaxone with improvement in symptoms and progressive resolution of his abscess. We report a pediatric case of infection occurring post-ERCP and cholecystectomy, and describe the convergence of two major risk factors for bacteremia in the same pediatric patient.
摘要
是一种常见于人类呼吸道的物种。它是胃肠道感染和菌血症的罕见病因。在此，我们报告一例17岁男孩的病例，该男孩在进行内镜逆行胰胆管造影术（ERCP）并括约肌切开术后3天内接受择期胆囊切除术，随后发生菌血症和腹腔内脓肿。患者通过静脉注射头孢曲松成功治疗，症状改善，脓肿逐渐消退。我们报告一例ERCP和胆囊切除术后发生感染的儿科病例，并描述了同一儿科患者发生菌血症的两个主要危险因素的共同作用。
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