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一名患有耐甲氧西林金黄色葡萄球菌所致感染性休克的囊性纤维化患者的体外膜肺氧合治疗

Extracorpeal Membrane Oxygenation in a Cystic Fibrosis Patient With Septic Shock Due to Methicillin-Resistant Staphylococcus aureus.

作者信息

Ghias Mona, Moffett Kathryn, Bogdansky Kevin, Carducci Hugo, Arevalo Marcano Casandra

机构信息

Internal Medicine, West Virginia University School of Medicine, Morgantown, USA.

Pediatrics, West Virginia University School of Medicine, Morgantown, USA.

出版信息

Cureus. 2024 Jun 25;16(6):e63096. doi: 10.7759/cureus.63096. eCollection 2024 Jun.

Abstract

This report presents the case of an 18-year-old male with cystic fibrosis (CF) who developed septic shock due to methicillin-resistant (MRSA) bacteremia. He had a history of poor nutritional status and uncontrolled CF-related diabetes, both contributing to his rapidly declining condition. Despite aggressive treatment, including extracorporeal membrane oxygenation, his hospital course continued to deteriorate, including worsening respiratory failure and the need for lower extremity amputation secondary to ischemia. Ultimately, the decision to withdraw life support was made after it was determined the patient had unrecoverable respiratory failure. Our goal in presenting this case is to demonstrate the serious consequences of MRSA infection in patients with CF, who are often severely immunocompromised, and to emphasize the need for early detection and aggressive intervention among patients of this group.

摘要

本报告介绍了一名18岁患有囊性纤维化(CF)的男性病例,该患者因耐甲氧西林金黄色葡萄球菌(MRSA)菌血症而发生感染性休克。他有营养状况差和CF相关糖尿病控制不佳的病史,这两者都导致了他病情迅速恶化。尽管进行了积极治疗,包括体外膜肺氧合,但他的住院病程仍持续恶化,包括呼吸衰竭加重以及因缺血而需要进行下肢截肢。最终,在确定患者存在不可恢复的呼吸衰竭后,做出了撤除生命支持的决定。我们展示这个病例的目的是证明MRSA感染在CF患者中造成的严重后果,这类患者往往严重免疫功能低下,并强调在该群体患者中早期检测和积极干预的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e7/11270623/79e0445dee26/cureus-0016-00000063096-i01.jpg

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