在患有外骨盆患者的同时出现的强血性囊炎和强血性肌炎
Elham Barahimi1, Ayoub Basham2, Ebrahim Evazi3
1Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Science, Bandar Abbas, Iran.
CEN case reports
|September 7, 2023
概括
这项案例研究突出显示了一例罕见的肺炎和肌炎病例,该病例发生在患有异常骨解剖的糖尿病患者身上. 保守的管理被证明是成功的,这表明它对类似的复杂案例的可行性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
背景情况:
- 肺炎 (EC) 和肺炎 (EPN) 是严重的尿路感染,通常与不受控制的糖尿病 (DM) 相关.
- 解剖学变异,如外骨盆,可能会使患者易患尿路感染.
研究的目的:
- 在患有外骨盆病人的患者中报告一种独特的同时存在的肺炎和肺炎的病例.
- 讨论外骨盆在诱发发发炎的潜在作用.
- 在这种特定的临床场景中评估保守管理的有效性.
主要方法:
- 一名64岁的女性患有控制不良的糖尿病,出现了侧翼疼痛,发烧和出血症的症状.
- 诊断工作包括体检,实验室测试 (HbA1c,炎症标志物,功能,尿液培养) 和计算机断层扫描 (CT) 扫描.
- 治疗包括静脉注射抗生素,盆腔的皮间排水,以及用于膀排水的福利导管.
主要成果:
- CT扫描证实了双边外骨盆与膀中的空气 (EC) 和单边的EPN.
- 患者的尿液培养对扩展谱β-乳酸酶Escherichia coli呈阳性.
- 经过保守治疗后,患者在14天内显示出临床改善,尿液培养呈阴性,并在随访CT时肺气完全消失.
结论:
- 在患有外骨盆的患者中,EC/EPN的同时发生是前所未有的.
- 显著大的外骨盆可能是发炎的诱导因素.
- 包括抗生素和排水在内的保守管理,在患有外骨盆的患者中,证明了EC/EPN的成功.
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