一个需要报告的性胆囊炎病例
Mariana Moniz Ramos1, Inês Ambrioso1, Frederica Ferreira1
1Internal Medicine, Hospital Distrital de Santarém, Santarém, PRT.
Cureus
|February 27, 2024
概括
急性胆囊炎是一种不常见的胆囊炎症,可能是由Listeria monocytogenes (LM) 感染引起的. 这一案例突出了早期识别和治疗李斯特菌引起的胆囊炎和细菌病,以改善患者的治疗结果.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 急性阿利性胆囊炎是没有胆结石的胆囊炎症,通常是传染性的.
- 由Listeria monocytogenes (LM) 引起的菌病,表现为细菌病,脑膜炎或胃肠炎.
- 李斯特菌引起的急性胆囊炎很少见,记录的病例有限.
研究的目的:
- 报告一例罕见的由Listeria monocytogenes引起的急性阴性胆囊炎病例.
- 强调这种不常见的疾病的临床表现和管理.
主要方法:
- 一个65岁的男性患有发烧和意识改变的案例介绍.
- 诊断工作显示了胆囊炎的二次性细菌病.
- 通过腹腔镜胆囊切除术和抗生素治疗进行手术干预.
主要成果:
- 患者出现了感染的症状和精神状态的改变.
- 血液培养证实了由于Listeria monocytogenes引起的细菌病.
- 成功的治疗包括腹腔镜胆囊切除术和向抗生素.
结论:
- 李斯特菌可导致急性性胆囊炎,尽管很少发生.
- 及时诊断和治疗,包括手术和抗生素,对于有利的结果至关重要.
- 这一案例强调了在胆囊感染中需要考虑不常见的病原体的必要性.
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