灵活支气管镜检查后的Escherichia coli肺:一种罕见的并发症还是炎症性细菌转位?
Ukasha Moazzam1, Bakht Noor Khurshid2, Cyrus Daneshvar3
1Geriatrics, Derriford Hospital/ University Hospitals Plymouth NHS Trust, Plymouth, GBR.
Cureus
|November 17, 2025
概括
肺是诊断支气管镜检查后的一种罕见并发症. 这一案例说明了像黄金葡萄球菌和大肠杆菌这样的感染如何发展,特别是在肺部疾病患者中,使治疗决策复杂化.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 医疗病例报告 病例报告
背景情况:
- 是诊断支气管镜检查的一个不常见的并发症.
- 患有前存在的肺部疾病,如支气管切除症的患者可能面临更高的风险.
- 灵活支气管镜是肺部异常的常见诊断工具.
研究的目的:
- 在诊断支气管镜检查后报告一种罕见的肺气病例.
- 为了突出肺部疾病患者的支气管镜检查相关的传染性并发症.
- 讨论由于微生物发现不一致而导致抗微生物决策的挑战.
主要方法:
- 一个70多岁的男性患者的病例报告,患有支气管切除症.
- 对偶然检测到的肺结节进行灵活的支气管镜检查.
- 支气管洗和多液的微生物学分析.
主要成果:
- 患者在支气管镜检查后10天出现了右下叶.
- 支气管洗发现了金黄色葡萄球菌和菌株.
- 胸腔液培养揭示了大肠杆菌.
结论:
- 诊断性支气管镜检查带有感染并发症的风险,包括肺炎,特别是在结构性肺部疾病的患者中.
- 呼吸道和多液微生物分离物之间的不一致性可能使选择适当的抗菌疗法变得复杂.
- 及时识别和量身定制的抗菌药物治疗对于管理支气管镜镜检查后的empyema至关重要.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
500
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
500
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
Endoscopic Procedures V: ERCP
2.6K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.6K
Chronic Bowel Disorders: Introduction
736
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
736
Esophageal Perforation-II: Clinical Manifestations and Management
477
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
477
Esophageal Strictures-I: Introduction
614
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
614


