老年患者菌血症和耻骨骨髓炎相关的播散性感染。
Disseminated infection associated with bacteraemia and osteomyelitis pubis in an elderly patient.
机构信息
Clinical Microbiology Service, Laredo Regional Hospital, Laredo, Cantabria, Spain.
Clinical Microbiology Service, Basurto University Hospital, Bilbao, Biscay, Spain.
出版信息
Infect Dis (Lond). 2023 Oct;55(10):738-743. doi: 10.1080/23744235.2023.2229425. Epub 2023 Jun 28.
OBJECTIVE
We describe a rare case of a disseminated infection associated with hip osteomyelitis.
METHODS
A 91-year-old female patient was admitted with oedema of her right leg, fever of 38 °C and data consistent with ruptured Baker's cyst. A disseminated infection including bloodstream infection, pneumonia and multiple abscesses along both lower limbs was observed.
RESULTS
After a four-week course of 320 mg1600 mg/12 h of intravenous trimethoprim/sulfamethoxazole and multiple chirurgic drainages the patient was discharged with oral trimethoprim/sulfamethoxazole. Nevertheless, the patient expired done month after being discharged from the hospital.
CONCLUSIONS
The implementation of a combination of intravenous antibiotics and drainages resulted in an initial improvement in the patient's condition. However, despite these interventions, the patient ultimately passed away probably due to natural causes.
目的
我们描述了一例与髋关节骨髓炎相关的播散性感染的罕见病例。
方法
一名 91 岁女性患者因右腿水肿、38°C 发热和符合贝克氏囊肿破裂的资料入院。观察到包括血流感染、肺炎和双下肢多处脓肿在内的播散性感染。
结果
经过四周的静脉注射甲氧苄啶/磺胺甲恶唑 320mg1600mg/12h 治疗和多次手术引流，患者出院时改为口服甲氧苄啶/磺胺甲恶唑。然而，患者在出院一个月后去世。
结论
静脉内抗生素联合引流的实施使患者的病情最初得到了改善。然而，尽管进行了这些干预，患者最终还是去世了，可能是由于自然原因。
Zotero 插件