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由一种罕见的机会性病原体引起的败血症致死病例。

Fatal case of sepsis caused by : A rare opportunistic pathogen.

作者信息

Assadi Rifah Anwar, AlAwadhi Husain Abdulaziz, Hasson Nageeb Hussein Abdulla, Assadi Rizah Anwar

机构信息

Sheikh Khalifa Medical City, Ajman, United Arab Emirates.

Gulf Medical University, Ajman, United Arab Emirates.

出版信息

IDCases. 2025 Jan 14;39:e02156. doi: 10.1016/j.idcr.2025.e02156. eCollection 2025.

Abstract

We present a rare case of sepsis caused by , a gram-negative, encapsulated bacterium. The patient, a 46-year-old male, was admitted to the intensive care unit with severe diabetic ketoacidosis, acute renal failure, and sepsis. Despite aggressive management, including continuous renal replacement therapy and high-dose inotropes, the patient's condition deteriorates rapidly, ultimately resulting in a fatal outcome. This case highlights the importance of considering in the differential diagnosis of sepsis, particularly in cases where the source of infection is unknown. The patient's clinical course underscores the challenges of managing sepsis in the intensive care unit and the need for continued research into the diagnosis, treatment, and prevention of sepsis caused by this rare opportunistic pathogen.

摘要

我们报告了一例由一种革兰氏阴性、有荚膜的细菌引起的败血症罕见病例。该患者为一名46岁男性,因严重糖尿病酮症酸中毒、急性肾衰竭和败血症入住重症监护病房。尽管采取了积极的治疗措施,包括持续肾脏替代治疗和大剂量血管活性药物,但患者的病情迅速恶化,最终导致死亡。该病例强调了在败血症鉴别诊断中考虑这种细菌的重要性,特别是在感染源不明的情况下。患者的临床病程凸显了在重症监护病房管理败血症的挑战,以及对由这种罕见机会性病原体引起的败血症的诊断、治疗和预防进行持续研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/186f/11787684/393f750094e6/gr1.jpg

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