一例2型糖尿病控制不佳患者因肺炎克雷伯菌引起的肾盂肾炎导致的感染性肺栓塞病例。
A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus.
作者信息
Katsumata Miho, Miura Masaki, Takizawa Soichi, Inoue Masaharu, Masuzawa Masahiro
机构信息
Diabetes and Endocrinology, Kameda Medical Center, Kamogawa, JPN.
Diabetes and Endocrinology, Yamanashi Prefectural Central Hospital, Kofu, JPN.
出版信息
Cureus. 2023 Mar 13;15(3):e36098. doi: 10.7759/cureus.36098. eCollection 2023 Mar.
Septic pulmonary embolism (SPE) is caused by the microbe that is responsible for any clinical condition that may include urinary tract infections as in this case. We report a case of pyelonephritis with that led to SPE in an 80-year-old woman with poorly controlled diabetes mellitus (DM). Computed tomography (CT) revealed multiple nodules in the peripheral area of the bilateral lung and a contrast defect in the right renal vein, which was suspected to be an embolism. Blood and urine cultures revealed infection. These results confirmed the diagnosis of pyelonephritis and SPE. Treatment with ceftriaxone, cefazolin, and ciprofloxacin improved the patient's condition.
脓毒性肺栓塞（SPE）是由导致任何临床病症的微生物引起的，在本病例中可能包括尿路感染。我们报告一例肾盂肾炎合并脓毒性肺栓塞的病例，患者为一名80岁糖尿病控制不佳的女性。计算机断层扫描（CT）显示双侧肺外周区域有多个结节，右肾静脉有造影剂充盈缺损，怀疑为栓塞。血培养和尿培养显示有感染。这些结果证实了肾盂肾炎和脓毒性肺栓塞的诊断。使用头孢曲松、头孢唑林和环丙沙星治疗后患者病情好转。
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