在ERCP后的Lactobacillus plantarum肝:一个病例报告和审查
Wenjing Ren1, Yuran Wei1, Guanping Lian1
1Emergency Department, The Second Hospital of Dalian Medical University, No. 467 Zhongshan Road, Dalian City, Liaoning Province, P.R. China.
BMC infectious diseases
|May 15, 2025
概括
一种益生菌Lactobacillus plantarum可以在接受ERCP等手术的患者中引起严重的感染,例如肝. 在易受伤害的个体中使用这种益生菌时,建议谨慎使用.
科学领域:
- 微生物学 微生物学
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 植物乳杆菌 (Lactobacillus plantarum) 是一种益生菌,它对肠道健康和免疫功能有有益影响.
- 尽管它具有益生菌的好处,但罕见的罕见病例出现了由乳酸菌植物菌引起的严重感染.
- 内镜逆行胆血管瘤造影 (ERCP) 是用于胆道和胰腺疾病的常见程序,相关感染的报道越来越多.
研究的目的:
- 报告ERCP后第一个由Lactobacillus plantarum引起的肝的病例.
- 突出特定患者群体中乳酸菌植物菌的潜在风险.
主要方法:
- 一个62岁的胰腺癌女性患者的案例介绍.
- 肝脏的诊断和确定乳酸菌植物作为ERCP后的致病原体,并进行胆汁支架.
主要成果:
- 在ERCP和胆管支架后,患者发生肝.
- 植物乳杆菌 (Lactobacillus plantarum) 被确定为导致肝脏的病原体.
结论:
- 这一病例是第一例被记录的乳杆菌植物菌在ERCP后引起肝的案例.
- 植物乳杆菌对有解剖学障碍,粘膜壁垒受损或免疫系统减弱的患者构成风险.
- 在临床上使用Lactobacillus plantarum需要谨慎,特别是在高风险患者中.
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