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多药耐药菌引起的胆道合并感染及1例胰腺癌合并胆管炎病例报告与文献复习

Biliary co-infection by multidrug-resistant and in a case of pancreatic cancer with cholangitis: A case report and review of literature.

作者信息

Sadeghi Amir, Houri Hamidreza, Lotfali Ensieh, Ghadirzadeh Erfan, Rajabnia Mohsen

机构信息

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Med Mycol Case Rep. 2023 Dec 29;43:100625. doi: 10.1016/j.mmcr.2023.100625. eCollection 2024 Mar.

DOI:10.1016/j.mmcr.2023.100625
PMID:38283389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10820661/
Abstract

Herein, we report a case of pancreatic cancer with acute cholangitis secondary to biliary obstruction. Empirical antibiotic therapy did not change the clinical presentation. Blood cultures were sterile; however, bile culture was positive for yeasts. Our laboratory analysis revealed a biliary coinfection by multidrug-resistant C. glabrata and C. albicans. The patient was successfully treated with endoscopic biliary drainage.

摘要

在此，我们报告一例胰腺癌伴继发于胆管梗阻的急性胆管炎病例。经验性抗生素治疗并未改变临床表现。血培养无菌；然而，胆汁培养酵母呈阳性。我们的实验室分析显示存在多重耐药光滑念珠菌和白色念珠菌的胆管合并感染。该患者通过内镜胆管引流成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553e/10820661/a6470e716c4f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553e/10820661/a6470e716c4f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553e/10820661/a6470e716c4f/gr1.jpg

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Crit Care. 2021 Feb 6;25(1):49. doi: 10.1186/s13054-021-03480-1.
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