成功的长期管理手术后的胸部感染,由Mycobacterium abscessus引起的多发性淋巴腺炎
Takahiro Yanagihara1, Tomoyuki Kawamura2, Kenji Minagi2
1Department of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, Japan. yanagihara1128@gmail.com.
Surgical case reports
|August 20, 2023
概括
手术后由Mycobacterium abscessus引起的胸部感染是罕见的,但致命的. 这一案例突出显示了通过抗生素和伤口护理,包括病变排水,成功地对传播感染进行了保守的治疗.
科学领域:
- 传染性疾病 传染性疾病
- 手术感染 手术感染
- 菌根菌感染 菌根菌感染
背景情况:
- 手术后由Mycobacterium abscessus (M. abscessus) 引起的胸部感染是一种罕见但严重的并发症.
- 这种感染的两年死亡率很高,约为40%,这给治疗带来了重大挑战.
研究的目的:
- 提出一个成功的治疗策略,用于一个罕见的术后M.腹感染与散布淋巴腺炎的病例.
- 讨论面临的挑战和潜在的治疗方法来管理扩散的M.疹感染.
主要方法:
- 描述了一例80岁的妇女在乳腺切除术后患有M. abscessus胸部感染的病例.
- 治疗包括使用抗生素和负压伤口治疗 (NPWT) 的保守管理,并补充了传播性病变的皮肤间排水.
- 由于广泛的淋巴腺炎,手术选择有限.
主要成果:
- 患者成功完成了366天的敏感抗生素治疗,治疗后5个月没有观察到复发.
- 保守的管理,包括NPWT和病变排水,导致伤口愈合和感染控制.
- 来自排水病变的培养成为负的,支持局部干预.
结论:
- 对扩散性病变的重复培养评估对于指导治疗策略至关重要.
- 对于M.的感染,可以考虑局部化手术,以控制的扩散病变,以负培养为标志.
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