子宫动脉栓塞术后菌血症：一种不常见的病原体。
bacteraemia after uterine artery embolisation: an unusual pathogen.
机构信息
Internal Medicine, Mayo Clinic Jacksonville Campus, Jacksonville, Florida, USA
Radiology, Mayo Clinic Jacksonville Campus, Jacksonville, Florida, USA.
出版信息
BMJ Case Rep. 2024 Mar 5;17(3):e258345. doi: 10.1136/bcr-2023-258345.
A woman in her 40s presented to the emergency department (ED) with a 3-week history of nausea, vomiting and diarrhoea. Blood cultures were positive for and spp. One month before her ED visit, she underwent targeted uterine artery embolisation with particles by an interventional radiologist. Uterine artery embolisation is considered a safe alternative to surgical removal of fibroids or hysterectomy. The patient was initially treated with targeted antibiotics for a large infected uterine fibroid but ultimately required a hysterectomy for source control. To our knowledge, this is the first documented case of infecting a uterine fibroid.
一位 40 多岁的女性因恶心、呕吐和腹泻 3 周到急诊科就诊。血培养结果为 和 spp 阳性。在她到急诊科就诊前 1 个月，她曾接受介入放射学家施行的靶向子宫动脉栓塞术，使用的是微粒。子宫动脉栓塞术被认为是一种安全的替代方法，可替代子宫肌瘤切除术或子宫切除术。最初，该患者接受了靶向抗生素治疗大的感染性子宫肌瘤，但最终需要进行子宫切除术以控制感染源。据我们所知，这是首例有记录的 感染子宫肌瘤的病例。
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