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肝硬化患者在无动物接触的情况下发生血流感染、腹膜炎和肺炎:病例报告和文献复习。

Bloodstream infection, peritonitis, and pneumonia caused by in a patient with liver cirrhosis despite no animal contact: case report and literature review.

机构信息

Department of Infectious Diseases, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, China.

State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Front Cell Infect Microbiol. 2023 Sep 26;13:1267941. doi: 10.3389/fcimb.2023.1267941. eCollection 2023.

Abstract

is an opportunistic pathogen. Previously reported infections associated with have often been linked to contact with cats, dogs, and other animals. Cases of systemic multiple-site infections following infection are rare. This case study presents a 49-year-old middle-aged man with post-hepatitis B cirrhosis and no history of animal contact. The patient was admitted with symptoms of fever accompanied by diarrhea, abdominal distension, and cough. Blood tests showed elevated levels of CRP, PCT, and IL-6, and blood culture revealed the growth of . CT scans revealed a large amount of abdominal effusion, a small amount of pleural effusion, and pulmonary infection foci. The patient's condition improved after successive administration of ceftriaxone and levofloxacin to fight the infection, and abdominal puncture and drainage. Multiple-site infections caused by are rarely encountered in patients with liver cirrhosis but without animal contact, which could be regarded as serious conditions warranting careful attention in terms of clinical diagnosis and treatment.

摘要

是一种机会致病菌。先前报道的与有关的感染通常与接触猫、狗和其他动物有关。感染后全身多部位感染的病例较为罕见。本病例研究介绍了一名 49 岁中年男性,患有乙型肝炎后肝硬化,无动物接触史。患者因发热伴有腹泻、腹胀和咳嗽而入院。血液检查显示 CRP、PCT 和 IL-6 水平升高,血培养发现生长。CT 扫描显示大量腹腔积液、少量胸腔积液和肺部感染灶。患者连续使用头孢曲松和左氧氟沙星抗感染以及进行腹腔穿刺引流后病情好转。无动物接触的肝硬化患者发生多部位感染较为罕见,但应视为严重情况,在临床诊断和治疗方面需要仔细关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1796/10562540/13bc1b380bb8/fcimb-13-1267941-g001.jpg

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