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血栓形成、脓毒性栓子和多发性脓肿:病例报告及文献复习。

Thrombosis, Septic Emboli, and Multiple Abscesses Triggered by : A Case Report and Review of Literature.

机构信息

West Anaheim Medical Center, Anaheim, CA, USA.

出版信息

J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231179441. doi: 10.1177/23247096231179441.

DOI:10.1177/23247096231179441
PMID:37278530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10265366/
Abstract

Urinary tract infection and pneumonia are common diseases caused by . In rare circumstances, has been associated with abscess formation, thrombosis, septic emboli, and infective endocarditis. We report a 58-year-old woman with a past medical history of uncontrolled diabetes who presented with abdominal pain along with swelling in the left third finger and left calf. Further work-up revealed bilateral renal vein thrombosis, inferior vena cava thrombosis, septic emboli, and perirenal abscess. All cultures were positive for . This patient was aggressively managed with abscess drainage, intravenous antibiotics, and anticoagulation. Diverse thrombotic pathologies associated with pathogen as documented in literature were also discussed.

摘要

尿路感染和肺炎是由 引起的常见疾病。在极少数情况下, 与脓肿形成、血栓形成、脓毒性栓子和感染性心内膜炎有关。我们报告了一例 58 岁女性,既往有未控制的糖尿病病史,出现腹痛,同时伴有左手第三指和左小腿肿胀。进一步检查显示双侧肾静脉血栓形成、下腔静脉血栓形成、脓毒性栓子和肾周脓肿。所有培养物均为 阳性。该患者接受了脓肿引流、静脉内抗生素和抗凝治疗的积极治疗。还讨论了文献中记录的与 病原体相关的多种血栓性病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5048/10265366/8a9547ed3a7c/10.1177_23247096231179441-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5048/10265366/3aa957c23869/10.1177_23247096231179441-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5048/10265366/8a9547ed3a7c/10.1177_23247096231179441-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5048/10265366/3aa957c23869/10.1177_23247096231179441-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5048/10265366/8a9547ed3a7c/10.1177_23247096231179441-fig2.jpg

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Understanding Infection-Induced Thrombosis: Lessons Learned From Animal Models.
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