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在一个脊髓切除的患者中,复发的沙门氏菌细菌病和右内动脉末动脉炎
Nabiya N Siddiqui1,2, Charles S Berenson3,2
1Division of Infectious Diseases, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
沙门氏菌型细菌病可以导致严重的血管感染,如动脉内关节炎. 这一案例凸显了对反复出现的沙门氏菌感染,特别是患有腹症的患者,需要长期使用抗生素治疗的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 血管外科 血管外科
- 内部医学 内部医学
背景情况:
- 切除术增加了对封装细菌的敏感性.
- 沙门氏菌细菌病可以与或没有焦点感染.
- 动脉内关节炎是一种罕见但严重的细菌血症并发症.
研究的目的:
- 报告一种沙门氏菌 typhimurium 细菌性病例与并发的内阴动脉末动脉炎.
- 讨论这个罕见的演示的管理挑战和治疗结果.
主要方法:
- 临床病例介绍和文献综述.
- 诊断工作包括血液培养和成像 (CT血管学).
- 治疗包括一轮抗生素治疗和监测复发情况.
主要成果:
- 一名70岁的男性有脊髓切除病史,患有沙门氏杆菌菌病和右内动脉末动脉炎.
- 最初6周的抗生素治疗之后,出现了复发的细菌血症.
- 需要长时间的抗生素治疗才能成功治疗.
结论:
- 沙门氏菌可以导致严重的血管感染,包括动脉内关节炎.
- 阿斯普莱尼患者患沙门氏菌细菌病的风险更高.
- 长时间的抗生素治疗对于治疗复发的沙门氏菌菌病和相关的血管并发症至关重要.
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