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转移性社区获得性感染,继发于皮肤和软组织感染:一例报告。

Metastatic community acquired infection, secondary to skin and soft tissue infection: A case report.

作者信息

Numan Mohammad, Mathew Joyal, Hamad Wasfy, Abuhmaira Mohammad, Werah Hassan, Khamkham Almokhtar

机构信息

Department of Internal Medicine, Al-Khor Hospital, Hamad Medical Corporation,Doha, Qatar.

Internal Medicine, Collage of Medicine, University of Qatar, Doha, Qatar.

出版信息

IDCases. 2024 Sep 7;38:e02074. doi: 10.1016/j.idcr.2024.e02074. eCollection 2024.

Abstract

is known to cause hospital-acquired infections, primarily in immunocompromised patients. Recently, a distinct syndrome of community-acquired invasive infection has been observed, mainly in the Southeast Asian population. This syndrome is associated with disseminated infection and the formation of multiple organ abscesses. Affected organs include the liver, the meninges, the brain, the eyes, and rarely the skin and soft tissue. Most of the affected patients suffer from diabetes mellitus. We present a case of invasive community-acquired  infection with the skin as the primary source. The patient was found to have multiple abscesses involving the skin, the liver, the right lung, and the brain. Cultures from the wound, the liver abscess, and the blood all revealed . The liver abscess was drained, and the patient received a prolonged course of antibiotics based on the sensitivity. One month later, the patient achieved full recovery. Our report highlights the emerging syndrome of invasive community-acquired  infection and the need for timely diagnosis and treatment to achieve favorable outcomes.

摘要

已知可引起医院获得性感染,主要发生在免疫功能低下的患者中。最近,观察到一种独特的社区获得性侵袭性感染综合征,主要发生在东南亚人群中。这种综合征与播散性感染和多器官脓肿的形成有关。受影响的器官包括肝脏、脑膜、大脑、眼睛,很少累及皮肤和软组织。大多数受影响的患者患有糖尿病。我们报告一例以皮肤为主要来源的社区获得性侵袭性感染病例。该患者被发现有多个脓肿,累及皮肤、肝脏、右肺和大脑。伤口、肝脓肿和血液的培养均显示……肝脓肿进行了引流,患者根据药敏结果接受了长时间的抗生素治疗。一个月后,患者完全康复。我们的报告强调了社区获得性侵袭性感染这一新兴综合征以及及时诊断和治疗以取得良好预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95e1/11415946/284203fa7b33/gr1.jpg

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