发疹病毒 (Vibrio vulnificus) 在患有底层肝硬化的患者中引起严重的多器官衰竭
Brandon Y Boeur1, Hussein Haidari1, Kristen Buchanan1
1Internal Medicine, University of South Alabama College of Medicine, Mobile, USA.
Cureus
|June 25, 2025
概括
海洋细菌Vibrio vulnificus可以引起严重的败血症,特别是在食用生贝类的肝病患者中. 早期识别风险因素和及时治疗对于控制这种严重感染至关重要.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 性 (Vibrio vulnificus) 是一种与海洋相关的阴性菌.
- 众所周知,它会引起严重的败血症,通常与食用贝类或接触有关.
- 患有潜在肝病的患者面临更高的严重结果的风险.
研究的目的:
- 提出一个严重的Vibrio vulnificus感染的案例研究.
- 强调识别风险因素对于及时诊断和管理的重要性.
- 为了讨论治疗策略的Vibrio vulnificus败血症.
主要方法:
- 一个患有慢性酒精使用障碍的患者在摄入生后出现了急性症状的病例报告.
- 临床管理包括抗生素治疗 (塞夫塔齐和多西环素).
- 干预性放射学程序:部分脏栓塞.
主要成果:
- 患者患有严重的败血症,多器官衰竭和持续的血小板狭窄症.
- 抗生素治疗和部分脏栓塞导致血栓塞缩症的改善.
- 患者最终实现了医疗稳定.
结论:
- 菌感染需要迅速的临床识别,特别是在高风险人群中.
- 早期诊断和适当的管理,包括抗生素和支持性护理,对于患者的生存至关重要.
- 这一案例强调了多学科方法在治疗严重V. vulnificus感染时的有效性.
相关概念视频
Diseases of the Liver and Gallbladder
1.0K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
1.0K
Esophageal Varices-II: Clinical Features and Management
149
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
149
Chronic Pancreatitis II: Collaborative Care
131
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
131
Hepatic Portal System
2.4K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
2.4K
Gastritis III: Clinical Manifestations and Management
500
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
500
Gastritis-II: Pathophysiology
601
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
601


