一个危及生命的肺囊炎病例与大膀石
Jose Carlos Fernandez1, Jackeline Porto2, Christina Alvarez2
1Internal Medicine HCA Florida Kendall Hospital.
Journal of Brown hospital medicine
|March 3, 2025
概括
腹膜性囊炎是一种严重的尿路感染,可以发生在糖尿病患者身上. 这个案例突出了一个复杂的表现,涉及膀结石和扩展光谱β-乳糖酶 (ESBL) E. coli.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 糖尿病学 糖尿病学
背景情况:
- 囊炎是尿路感染的严重并发症,常见于患有失控糖尿病的患者.
- 常见的致病原体包括大肠杆菌,肺炎,和P.奇迹.
研究的目的:
- 在患有良性前列腺增生和II型糖尿病患者中呈现 emphysematous cystitis 的病例.
- 要突出诊断发现和处理涉及ESBL大肠杆菌的复杂病例的诊断结果.
主要方法:
- 一个69岁的男性病例报告显示,他有侧侧疼痛,出血,恶心和吐.
- 诊断工作包括腹部和骨盆的计算机断层扫描 (CT).
- 尿培养发现了扩展谱β-乳糖酶 (ESBL) E. coli.
主要成果:
- 电脑扫描显示了大膀结石,膀中的内空气和前列腺扩大.
- 这名患者因ESBL大肠杆菌感染而接受了Ertapenem治疗.
- 管理还包括解决潜在的并发症.
结论:
- 囊炎需要及时识别和治疗,特别是在糖尿病患者中.
- 这一案例强调了在患有BPH和糖尿病等并发症的患者中考虑复杂的尿路感染的重要性.
- 成功的治疗涉及有针对性的抗生素和促进因素的管理.
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