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沙门氏杆菌 typhimurium 死性粘膜炎:一个病例报告
Radwan El Othman1, Fatima Allaw2,3, Antoine Kharsa2
1Department of Internal Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon. radwan_el_othman@hotmail.com.
Journal of medical case reports
|August 12, 2023
概括
由非类型型沙门氏菌引起的死性带炎是罕见的,特别是在免疫功能低下的患者中. 早期怀疑和管理对于这些严重的皮肤和软组织感染的更好的结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
- 关键护理医学 关键护理医学
背景情况:
- 死性筋膜炎是一种严重的软组织感染,患病率和死亡率高.
- 通常是由金黄色葡萄球菌和A组链球菌引起的.
- 非类型型沙门氏菌是皮肤和软组织感染的不常见原因.
研究的目的:
- 报告一种极为罕见的沙门氏菌非类型性死性带炎病例.
- 强调在免疫受损患者中考虑罕见病原体的重要性.
- 为在类似情况下提供潜在管理策略的见解.
主要方法:
- 一个20岁的男性患有先天性心脏异常的病例报告.
- 经由手术病理学证实的死性带炎的诊断,以及对沙门氏菌Typhimurium的阳性血液和组织培养.
- 治疗包括手术除菌,抗菌疗法和二次Fusarium感染的沃里科纳.
主要成果:
- 患者出现了腹,下肢细胞炎和败血症休克.
- 沙门氏菌被确定为致病原体.
- 患者还患有真菌感染 (Fusarium 种),需要额外的治疗.
结论:
- 怀疑罕见病原体的高指数,如沙门氏菌非类型,对于皮肤和软组织感染至关重要.
- 免疫受损状态增加了风险,需要及时诊断和管理.
- 这种罕见感染的延迟诊断和管理可能会导致严重的发病率和死亡率.
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