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一例罕见的产气导致移植肾动脉出血性真菌性假性动脉瘤最终行移植肾切除术的病例。

A Rare Case of Gas Forming Leading to Bleeding Mycotic Pseudoaneurysm of Transplant Renal Artery Culminating in Graft Nephrectomy.

作者信息

Khalil Muhammad Abdul Mabood, Sadagah Nihal Mohammed, Alqurashi Moayad Majed, Basha Ahmed Abdelahad, Sakran Hisham Ismael Mohamed, Assiri Ibrahim Mohammed Nasser, Aboalsamh Ghaleb Anas, Al-Qurashi Salem H

机构信息

Centre of Renal Diseases and Transplantation, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.

Division of Adult Infectious Diseases, Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.

出版信息

J Med Cases. 2024 Jun;15(6):110-114. doi: 10.14740/jmc4231. Epub 2024 May 25.

Abstract

belongs to genus. It is a common gram-negative, facultative anaerobic, rod-shaped organism. It causes a variety of nosocomial infections including urinary tract infection, pneumonia, wound infection, osteomyelitis and endocarditis. Over time complex (ECC) has developed to be resistant to antibiotics including carbapenem. It has been rarely reported to cause gas gangrene and never been reported to cause pseudoaneurysm (PA) of transplant renal artery. We report and share our experience with this rare case of gas forming and muti-drug resistant ECC which led to mycotic PA of transplant renal artery, complicated by bleeding and infected hematoma and which resulted in graft nephrectomy.

摘要

属于 属。它是一种常见的革兰氏阴性、兼性厌氧、杆状微生物。它可引起多种医院感染,包括尿路感染、肺炎、伤口感染、骨髓炎和心内膜炎。随着时间的推移,复杂(ECC)已对包括碳青霉烯类在内的抗生素产生耐药性。很少有报道称其可引起气性坏疽,从未有过引起移植肾动脉假性动脉瘤(PA)的报道。我们报告并分享了这例罕见的产气且多重耐药的ECC导致移植肾动脉霉菌性PA的病例,该病例伴有出血和感染性血肿,并最终导致移植肾切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bf6/11161181/907d07f5a365/jmc-15-110-g001.jpg

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