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无典型危险因素的免疫功能正常的胃旁路术后患者的耐抗生素菌血症

Antibiotic-Resistant Bacteremia in an Immunocompetent Postgastric Bypass Patient Without Typical Risk Factors.

作者信息

Gutierrez Alejandra, Gautam Shovendra

机构信息

Department of Internal Medicine, Texas Christian University Anne Burnett Marion School of Medicine, Fort Worth, Texas, USA.

出版信息

Case Rep Infect Dis. 2025 Mar 27;2025:9910105. doi: 10.1155/crdi/9910105. eCollection 2025.

Abstract

bacteremia, though rare, is a serious condition that highlights the importance of recognizing potential complications in patients with infections. In this paper, we present a case of bacteremia in a 53-year-old female s/p a Roux-en-Y gastric bypass revision four months prior, presenting with acute onset of nausea, vomiting, and persistent, explosive, watery diarrhea which started one day after she consumed pork chops and ground beef. Initial laboratory tests indicated leukocytosis and hypokalemia. Human immunodeficiency virus (HIV), rapid plasma regain (RPR), and Hepatitis C were nonreactive. A computed tomography (CT) scan of the abdomen and pelvis showed no intestinal wall thickening or any other acute abnormalities. Blood cultures identified a infection that was resistant to multiple antibiotics. She was treated with intravenous meropenem. bacteremia is a rare complication of infection and requires thorough investigation to identify potential underlying factors. Antibiotic susceptibilities should also be assessed, given the increasing resistance of strains to previously effective treatments.

摘要

菌血症虽然罕见,但却是一种严重的病症,凸显了识别感染患者潜在并发症的重要性。在本文中,我们呈现了一例53岁女性的菌血症病例,该女性在四个月前接受了Roux-en-Y胃旁路修复术,在食用猪排和绞牛肉一天后,出现急性恶心、呕吐以及持续的、剧烈的水样腹泻。初始实验室检查显示白细胞增多和低钾血症。人类免疫缺陷病毒(HIV)、快速血浆反应素环状卡片试验(RPR)和丙型肝炎检测均为阴性。腹部和骨盆的计算机断层扫描(CT)显示肠壁无增厚或其他急性异常。血培养确定了一种对多种抗生素耐药的感染。她接受了静脉注射美罗培南治疗。菌血症是感染的一种罕见并发症,需要进行全面调查以确定潜在的潜在因素。鉴于菌株对先前有效治疗的耐药性增加,还应评估抗生素敏感性。

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