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1例罕见的毗邻颗粒链菌胆囊脓肿合并胆囊腺癌病例:诊断与治疗挑战

A Rare Case of Granulicatella adiacens Gallbladder Abscess Associated With Gallbladder Adenocarcinoma: Diagnostic and Therapeutic Challenges.

作者信息

Mateja Heather L, Neris Ruben, Giuseppucci Pablo

机构信息

General Surgery, American University of Antigua, Osbourn, ATG.

General Surgery, Western Reserve Health Education, Warren, USA.

出版信息

Cureus. 2024 Aug 19;16(8):e67182. doi: 10.7759/cureus.67182. eCollection 2024 Aug.

Abstract

, a nutritionally variant streptococcus, is part of the normal oral, gastrointestinal, and urogenital flora. It is associated with bacteremia, infectious endocarditis, and, rarely, bone and joint infections. infections also tend to have high mortality due to diagnostic challenges and antibiotic resistance. Few case reports have documented its role in abscess formation. Here, we report the first known case of causing a gallbladder abscess in a patient with gallbladder carcinoma (GBC), a rare but aggressive cancer. Enhanced awareness and improved diagnostic methods are needed to manage such infections and understand their underlying mechanisms, particularly in immunocompromised patients with malignancies.

摘要

[具体细菌名称,一种营养变异型链球菌]是正常口腔、胃肠道和泌尿生殖系统菌群的一部分。它与菌血症、感染性心内膜炎相关,很少与骨和关节感染有关。由于诊断困难和抗生素耐药性,[该细菌相关]感染的死亡率也往往很高。很少有病例报告记录其在脓肿形成中的作用。在此,我们报告首例已知的[该细菌名称]在胆囊癌(GBC,一种罕见但侵袭性强的癌症)患者中导致胆囊脓肿的病例。需要提高认识并改进诊断方法来处理此类感染并了解其潜在机制,特别是在患有恶性肿瘤的免疫功能低下患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ea4/11409429/630cda93061f/cureus-0016-00000067182-i01.jpg

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