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终末期肾病患者的脓性心包炎:弗氏柠檬酸杆菌感染的罕见病例

Purulent Pericarditis in End-Stage Renal Disease: A Rare Case of Citrobacter freundii Infection.

作者信息

Goncalves Hugo, Sá Rosa, de Oliveira Simões Francisco, Domingues Rui M, Oliveira Narciso, Pimentel Teresa

机构信息

Division of Rheumatology, Unidade Local de Saúde de Braga (ULS de Braga), Braga, PRT.

Division of Oncology, Unidade Local de Saúde de Braga (ULS de Braga), Braga, PRT.

出版信息

Cureus. 2024 Jun 13;16(6):e62308. doi: 10.7759/cureus.62308. eCollection 2024 Jun.

Abstract

BACKGROUND

Purulent pericarditis is a rare but life-threatening condition, particularly challenging when it occurs in immunocompromised individuals.

CASE REPORT

We present the case of a 68-year-old man with end-stage renal disease who developed purulent pericarditis secondary to  infection. Despite initial challenges in diagnosis and management, the patient showed a favorable response to antibiotic therapy.

CONCLUSIONS

This case highlights the importance of prompt recognition and treatment of purulent pericarditis, especially in patients with underlying immunosuppression and comorbidities.

摘要

背景

脓性心包炎是一种罕见但危及生命的疾病,在免疫功能低下的个体中发生时尤其具有挑战性。

病例报告

我们报告一例68岁终末期肾病男性患者,继发感染后发生脓性心包炎。尽管在诊断和治疗初期面临挑战,但患者对抗生素治疗反应良好。

结论

本病例强调了及时识别和治疗脓性心包炎的重要性,尤其是在有潜在免疫抑制和合并症的患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb5e/11245891/4ba2261e89d3/cureus-0016-00000062308-i01.jpg

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