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由于Candida内心炎而导致的急性中腹腔缺血:一个病例报告
Tatsuya Ochi1, Shota Kikuta1, Takeshi Nishimura1
1Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, JPN.
Cureus
|March 25, 2024
概括
这一案例突出了由Candida内心炎引起的急性介质缺血症 (AMI) 的罕见实例. 临床医生应考虑在缺乏典型风险因素的AMI患者感染性内心炎.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 急性中肠缺血症 (AMI) 是一种危急的疾病,通常与血栓栓塞事件有关.
- 传染性内心炎 (IE) 通常与不同的并发症有关.
- 在IE和AMI之间的联系是非常罕见的.
研究的目的:
- 报告第一个由Candida tropicalis内心炎引起的AMI次要病例.
- 强调在没有传统风险因素的AMI患者中考虑IE的重要性.
主要方法:
- 一名36岁的男性患者出现了AMI的症状.
- 诊断工作包括计算机断层扫描,血液培养和心声回声.
- 治疗包括新兴腹腔切除术,关膜置换和抗真菌疗法.
主要成果:
- 这名患者被诊断出患有AMI,Candida tropicalis bacteremia和中枢植被.
- 手术干预和抗真菌治疗使她完全康复.
- 这是第一个报告的由Candida内心炎引起的AMI病例.
结论:
- 传染性内心炎,特别是Candida内心炎,可能是AMI的不常见原因.
- 临床医生应在没有确定的血栓栓塞风险因素的情况下呈现AMI的患者中保持对IE的高怀疑指数.
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