腹膜透析相关的腹膜炎来自PAUCI-septated模具:危及生命但可治愈
Theerachai Thammathiwat1, Sajja Tatiyanupanwong2, Uraiwan Parinyasiri3
1Division of Nephrology, Department of Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.
Medical mycology case reports
|October 19, 2023
概括
两例由昆宁哈梅拉真菌感染引起的腹膜炎 (PD) 被成功治疗. 迅速的导管切除和抗真菌治疗导致了尽管最初的败血症,有利的结果.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 腹膜炎是腹膜透析 (PD) 的严重并发症.
- 虽然真菌腹膜炎很少见,但它会带来重大治疗挑战.
- 昆宁哈梅拉物种是新兴的真菌病原体.
研究的目的:
- 报告两例由昆宁哈梅拉菌种引起的PD相关腹膜炎病例.
- 描述这些感染的临床表现,诊断和管理.
- 为了突出成功的治疗策略的坎宁哈梅拉腹膜炎.
主要方法:
- 关于两名患有PD相关腹膜炎的患者的病例报告.
- 通过分子原生学来识别昆宁哈梅拉物种.
- 对孤立病原体进行抗真菌敏感性测试.
- 关于表现,治疗和结果的临床数据收集.
主要成果:
- 两名患者均出现了经典腹膜炎症状,发烧和败血症.
- 鉴定出了昆宁海梅拉bertholletiae和昆宁海梅拉贵州人种.
- 隔离物对安波特素B有敏感性,但对醇和类素有耐药性.
- 成功的治疗包括PD导管切除和安福特乙治疗.
结论:
- 昆宁哈梅拉菌种可以导致严重的PD相关周周炎与败血症.
- 早期诊断和及时管理,包括导管切除和适当的抗真菌治疗,对于有利的结果至关重要.
- 氨酸B似乎是一个有效的治疗选项Cunninghamella腹膜炎.
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