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胎儿弯曲杆菌性肾上腺脓肿

Campylobacter fetus Adrenal Abscess.

作者信息

Kerferd Jack W, McLachlan Aidan R, Thakkar Heeral, Baumgart Samuel W, McKew Genevieve

机构信息

Department of Microbiology and Infectious Diseases, Concord Repatriation General Hospital, Sydney, AUS.

Faculty of Medicine and Health, University of Sydney, Sydney, AUS.

出版信息

Cureus. 2024 Nov 12;16(11):e73556. doi: 10.7759/cureus.73556. eCollection 2024 Nov.

Abstract

A 69-year-old highly comorbid female patient presented to the emergency department with sepsis following a month of fevers, myalgias, and lethargy. Abdominal imaging revealed an adrenal abscess, an aspirate of which grew ). The patient was treated with meropenem and then azithromycin; however secondary infection of the abscess cavity with an extended-spectrum beta-lactamase (ESBL)-producing  () and failure of source control led to an extended clinical course. This case highlights the only documented case of adrenal abscess, and a literature review of -associated abscess presentations is provided.

摘要

一名69岁、患有多种严重疾病的女性患者,在经历了一个月的发热、肌痛和乏力后,因脓毒症被送往急诊科。腹部影像学检查发现一个肾上腺脓肿,对其进行穿刺抽吸培养出(此处原文缺失培养出的内容)。患者接受了美罗培南治疗,随后使用阿奇霉素;然而,脓肿腔继发产超广谱β-内酰胺酶(ESBL)的(此处原文缺失感染菌内容)感染以及感染源控制失败导致病程延长。该病例突出了肾上腺脓肿的唯一记录病例,并提供了与(此处原文缺失相关内容)相关脓肿表现的文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c72/11638148/57d989d71bbf/cureus-0016-00000073556-i01.jpg

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