一种罕见的胆管炎呈现,与侵入性链球菌Pyogenes相关
Dominique M Ebedes1, Jennifer Caputo-Seidler1
1Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Cureus
|July 12, 2024
概括
这份病例报告详细介绍了一例罕见的Streptococcus pyogenes,在患有晚期胰腺癌的患者中引起胆管炎. 感染出现了严重的症状,突出了细菌.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 杆菌 pyogenes (S. pyogenes) 通常会导致皮肤和喉感染.
- 侵入性S. pyogenes感染很少见,但可能严重.
- 转移性胰腺腺癌在患者管理方面存在重大挑战.
研究的目的:
- 报告一种异常的胆管炎病例,该病例是S. pyogenes侵入性感染的次要病例.
- 突出在免疫受损患者中管理S. pyogenes感染的挑战.
主要方法:
- 一个34岁的男性患有转移性胰腺腺癌的病例介绍.
- 诊断工作包括皮肤穿透肝胆血管图和微生物培养.
- 治疗包括使用抗生素 (安培-苏尔巴克坦) 和抗真菌药物 (可纳).
主要成果:
- 患者出现了发烧,黄,精神状态变化和低血压.
- 血液和胆汁液培养证实了S. pyogenes. 的存在.
- 胆汁液还显示了乳杆菌和糖菌菌.
结论:
- 胆管炎可能是侵入性S. pyogenes感染的罕见表现.
- 管理需要及时诊断和广泛的抗菌药物治疗.
- 在患有晚期恶性瘤的免疫受损患者中,结果往往很差.
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