传染性内心炎是由于在家庭氧气治疗期间鼻腔隔膜穿孔而引起的
Kyota Shinfuku1, Naoki Takasaka1, Ryutaro Ohashi2
1Division of Respiratory Diseases, Department of Internal Medicine The Jikei University Daisan Hospital Tokyo Japan.
Respirology case reports
|October 8, 2024
概括
家庭氧气疗法 (HOT) 可以导致鼻腔隔膜穿孔,增加像感染性内心炎这样的严重金黄色葡萄球菌感染的风险. 在HOT期间适当的鼻子护理对于预防严重并发症至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 家庭氧气疗法 (HOT) 是一种常见的治疗慢性呼吸道疾病,如间歇性肺炎.
- 由于粘膜干燥,长时间的HOT可能会导致鼻子并发症,包括隔膜穿孔.
- 这些鼻子问题可能成为细菌进入的门户,导致全身感染.
研究的目的:
- 在接受HOT的患者中报告鼻腔隔膜穿孔后的传染性内心炎 (IE) 病例.
- 突出了HOT和严重细菌感染的鼻子并发症之间的潜在联系.
- 强调长期接受氧气治疗的患者鼻腔护理的重要性.
主要方法:
- 一个64岁的男性患者的病例报告,他在HOT.上患有间歇性肺炎.
- 基于修改的杜克标准诊断IE,包括血液培养物和心声回声.
- 在血液和鼻腔培养物中识别对甲素敏感的金黄色葡萄球菌 (MSSA).
- 临床检查显示鼻腔隔膜穿孔.
主要成果:
- 患者出现呼吸障碍,并被诊断为由MSSA引起的IE.
- 鼻隔膜穿孔被确定为MSSA的可能入口点.
- 尽管接受了抗生素治疗 (cefazolin和clindamycin),但患者患上了吸入性肺炎并死亡.
- 鼻腔的MSSA殖民被证实.
结论:
- 鼻腔隔膜穿孔,是HOT的并发症,可以导致严重的细菌感染,如IE.
- 在HOT期间,由于干燥和粘液的去除而损害了鼻腔粘膜,这有助于细菌入侵.
- 警的鼻腔护理对于热治疗患者至关重要,以预防严重的传染性并发症.
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