腹的不常见病因:Enterococcus faecalis 在一个免疫能力强的宿主中
Sanjay Gabhale1, Parna Chakraborty2, Brahmansh Singh3
1Department of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
肠球菌 (Enterococcus faecalis empyema) 很少见,即使在免疫能力强的患者中也是如此. 这一案例显示了通过排水,抗生素和纤维素分解的成功治疗,避免了手术.
科学领域:
- 医学 医学 医学 医学 医学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 腹肺通常是由常见细菌引起的肺炎的并发症.
- 由于Enterococcus faecalis引起的肺异常罕见,特别是在免疫能力强的个体中.
研究的目的:
- 报告一个罕见的Enterococcus faecalis empyema病例在一个免疫能力强的患者.
- 为突出成功的非手术治疗策略,为这种罕见的疾病.
主要方法:
- 一个75岁的男性没有显著的免疫抑制病例报告.
- 诊断通过成像和胸腔样本检查得到证实,结果呈阳性E. faecalis培养.
- 治疗包括胸管排水,广谱抗生素和腹腔内链激酶.
主要成果:
- 患者出现呼吸不全和胸部多发性疼痛,成像显示局部的多发性溢出.
- 胸腔液的培养物鉴定出了Enterococcus faecalis.
- 通过排水,抗生素和纤维素溶解成功治疗,导致完全康复和无需手术的肺部重新扩张.
结论:
- 在免疫能力较强的患者中,Enterococcus faecalis可以引起 empyema.
- 早期识别,图像引导排水,抗生素和纤维素分解是有效的治疗方法.
- 可以实现有利的结果,可能避免侵入性外科手术程序.
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