一个案例报告:与感染相关的质膜炎和地幔细胞淋巴瘤是由于mycobacterium avium复杂感染
Yiqi Huang1, Li Xia1, Weigang Shen1
1Department of Nephrology, Shaoxing Second Hospital, Shaoxing, Zhejiang, China.
Medicine
|January 11, 2024
概括
膜炎是Mycobacterium avium复合体 (MAC) 的罕见现象,特别是在免疫能力强的患者中. 下一代元基因组学测序有助于早期诊断未知的发烧,尽管这种情况导致了败血症休克.
科学领域:
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
背景情况:
- 菌复合体 (MAC) 感染通常影响肺部,肝脏和皮肤.
- 呈现为腹膜炎的MAC很少见,特别是在免疫能力强的个体中.
- 这一病例突出了罕见的MAC感染表现.
研究的目的:
- 报告一个罕见的Mycobacterium avium复合体 (MAC) 周周炎病例.
- 讨论患有MAC周周炎,感染相关的淋巴结核炎和地幔细胞淋巴瘤的患者的诊断挑战和结果.
- 强调MAC感染早期诊断的重要性.
主要方法:
- 一个73岁的男性出现发烧,腹部疼痛,尿道和的案例研究.
- 诊断包括脏活检,腹部淋巴结活检和下一代代代谢基因组测序.
- 治疗包括经验性抗生素,血液透析和抗MAC疗法.
主要成果:
- 这名患者被诊断出患有腹膜炎,急性功能衰竭,感染相关的血球炎和由于MAC引起的地幔细胞淋巴瘤.
- 尽管接受了治疗,但患者在入院后的第21天死于败血症休克.
- 下一代元基因组学测序对于诊断潜在的MAC感染至关重要.
结论:
- 早期和准确的MAC感染诊断对于患者的治疗结果至关重要.
- 下一代元基因组学测序是一种有价值的工具,可以在传统方法失败时识别发烧的原因.
- 这一案例凸显了在免疫能力强的宿主中MAC腹膜炎的罕见性和严重性.
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