在免疫受损患者中由 Pseudomonas aeruginosa 引起的死性筋膜炎:一种突发进化的病例
Vera Vieira1, Leonor Simões2, Ana Nogueira2
1Intensive Care Unit, Unidade Local de Saúde da Região de Leiria, Leiria, PRT.
Cureus
|October 2, 2025
概括
由Pseudomonas aeruginosa引起的死性膜炎是一种严重的感染,特别是在免疫功能低下的患者中. 快速诊断和多学科治疗对于这些侵袭性软组织感染的生存至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
- 关键护理医学 关键护理医学
背景情况:
- 死性筋膜炎是一种罕见但致命的软组织感染.
- 免疫功能低下的患者面临更高的风险和死亡率.
研究的目的:
- 在免疫功能低下的患者中报告一个致命的死角性带炎病例.
- 在这种情况下,要强调Pseudomonas aeruginosa的毒性.
主要方法:
- 一个56岁的女性患有慢性淋巴细胞白血病的病例报告.
- 临床表现,诊断工作和治疗干预措施.
- 识别Pseudomonas aeruginosa的微生物培养物.
主要成果:
- 患者出现了快速的败血症休克和多器官衰竭.
- 鉴定出 Pseudomonas aeruginosa 是病原体.
- 尽管进行了积极的治疗,但患者因感染而死亡.
结论:
- Pseudomonas aeruginosa 可以引起极其毒性的死性软组织感染.
- 迅速识别和多学科干预对于改善结果至关重要.
- 免疫受损状态显著增加了死性带炎的风险和严重程度.
相关概念视频
01:30Pneumonia I: Introduction
731
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
731
01:27Acute Pyelonephritis I: Introduction
493
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
493
01:30Pneumonia III: Complications and Assessment
786
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
786
01:29Pneumonia II: Pathophysiology
2.6K
The pathophysiology of pneumonia involves the following steps:
2.6K
01:28Pneumonia IV: Management
756
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
756
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
318
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
318