相关实验视频
Updated: Jun 17, 2025
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Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
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一个巨大的伊利奥普索亚斯的病例,它穿孔并与尿道沟通
Yusuke Tabata1,2,3, Masato Yanagi4, Kazuo Enomoto2
1Department of Orthopedic Surgery, Mitsuhashi Meisei Hospital, Chiba, Japan.
JMA journal
|August 8, 2024
概括
一个罕见的 iliopsoas (IPA) 病例是由ESBL产生的Proteus mirabilis引起的,它穿透了尿管,导致败血症. 卧床患者的诊断延迟可能导致严重的并发症,如尿路穿孔.
科学领域:
- 传染性疾病 传染性疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 阴茎 (IPA) 是一种罕见的疾病,通常表现为非特异性症状.
- 扩展谱β-乳糖酶 (ESBL) 生产细菌在医疗保健相关感染中越来越多地被认为是病原体.
- 延迟诊断IPA可能会导致严重的并发症,特别是在老年或衰弱的患者.
研究的目的:
- 报告一个罕见的 iliopsoas (IPA) 病例,由产生扩展谱β-乳糖酶 (ESBL) 的Proteus mirabilis引起.
- 为了突出尿管穿孔和随后的败血症的并发症二次IPA.
- 强调在对源不明发烧的差异诊断中考虑IPA的重要性,特别是在有沟通困难的患者中.
主要方法:
- 一个84岁的女性患者长期发烧的病例报告.
- 计算机断层扫描 (CT) 扫描用于诊断和特征的 iliopsoas及其与尿管的关系.
- 致病生物体的临床和微生物学研究.
主要成果:
- 在右 iliopsoas 肌肉中发现了一个大型 iliopsoas (180 × 110 × 100 毫米).
- 发现骨与右尿管沟通,导致尿管狭窄和水.
- 致病生物被确定为扩展光谱β-乳糖酶 (ESBL) 生产的Proteus mirabilis.
- 患者呈现出尿管穿孔和IPA.二次性败血症.
结论:
- 阴囊可以穿透尿管,导致包括败血症在内的严重并发症.
- 在卧床患者中,有限的沟通,源不明的发烧使人们高度怀疑IPA.
- 早期诊断和IPA的适当管理对于预防危及生命的并发症,如尿路穿孔和败血症至关重要.
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