外肠道Edwardsiella tarda感染呈现为连续胆囊炎和胆管炎:一个病例报告
Keigo Yoshimura1, Yuki Yamashita2, Takefumi Kimura3,4
1Department of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Clinical journal of gastroenterology
|October 2, 2025
概括
爱德华西拉后期 (E. tarda) 可以导致复发性胆管炎,即使在初始治疗后. 及时诊断和有针对性的测试对于管理这些罕见的胆道感染至关重要,特别是在食用生水生动物后.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 微生物学 微生物学
背景情况:
- 爱德华塞拉特拉达 (Edwardsiella tarda,E. tarda) 是一种不常见的人类病原体.
- 肠外的E. tarda感染很少见,只有有限的复发性胆道炎病例得到证实.
研究的目的:
- 报告一种由E. tarda引起的复发性胆道炎病例.
- 强调在胆道感染中考虑E. tarda的重要性.
主要方法:
- 一名77岁的男性在食用鱼和生鱼后出现了急性结石胆囊炎.
- E. tarda 在经皮胆囊排水后的胆汁培养物中被发现,后来在复发性胆道炎期间在胆汁和血液培养物中被发现.
- 治疗包括甲和胆道干预 (排水,支架安置).
主要成果:
- 最初的塞夫马他治疗缓解了急性胆囊炎.
- 该患者因迁移的胆结石而患有阻塞性胆结炎的复发.
- 确认了复发的E. tarda感染,导致长期抗生素治疗和胆道支架的成功治疗.
结论:
- 尽管初始治疗适当,Edwardsiella tarda可能会导致胆道感染复发.
- 临床医生应在复发性胆道炎中怀疑E. tarda,特别是在有食用原料或未煮熟的水生动物病史的患者中.
- 准确的诊断和管理需要详细的饮食史和特定的微生物学测试.
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