创伤后延迟发病的感染性周围血瘤:一个病例报告
Yuta Nakamura1, Tomoki Wada1, Ryota Inokuchi1
1Department of Emergency and Critical Care Medicine The University of Tokyo Hospital Tokyo Japan.
Acute medicine & surgery
|January 19, 2026
概括
周围腎血腫的二次感染很少發生,但很嚴重. 这一案例凸显了在创伤患者中考虑延迟发病的感染的重要性,特别是那些患有并发症的患者,以便及时干预.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 周围瘤是常见的,通常是损伤造成的.
- 这些血液瘤的二次感染很少发生,并且经常被误诊.
- 及时识别和管理对于患者的治疗结果至关重要.
研究的目的:
- 呈现一个延迟发病的Klebsiella pneumoniae感染病例在周围腎血腫中.
- 强调感染周围腎血腫的診斷挑戰和管理策略.
- 强调在有损病史和相关风险因素的患者中考虑感染的重要性.
主要方法:
- 一个82岁的女性糖尿病和肝硬化病例的案例介绍.
- 最初的症状包括发烧,不适和背部疼痛.
- 诊断成像利用对比度增强的计算机断层扫描 (CT) 识别了一个8厘米长的含有气体的围膜血瘤.
主要成果:
- 血液培养物确定了Klebsiella pneumoniae作为致病原体.
- 最初的静脉注射抗生素治疗不足.
- 最终需要CT引导的皮肤通排水来获得成功的临床和放射学解决方案.
结论:
- 在高风险个体中,应考虑创伤性围性血液瘤的延迟发病感染.
- 早期和最终的源控制对于管理受感染的周围腎血腫至关重要.
- 这一案例强调了在诊断和治疗损伤不常见并发症时需要保持警.
相关概念视频
06:56A Delayed Inoculation Model of Chronic Pseudomonas aeruginosa Wound Infection
9.1K
We describe a delayed inoculation protocol for generating chronic wound infections in immunocompetent...
9.1K
10:08Pseudofracture: An Acute Peripheral Tissue Trauma Model
15.2K
Pseudofracture, a reproducible murine model of sterile musculoskeletal trauma, allows for evaluation of late term post-traumatic immune responses. This article describes the procedural execution of the model step by step, including the potential for experimental model combinations to permit study of multiple...
15.2K
04:33Minimally Invasive Endoscopic Procedure for Hematoma Removal from the Human Brain
447
Source: Pan, J. et. al., Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation. J. Vis. Exp. (2021)This video demonstrates minimally invasive endoscopic hematoma removal, using a navigation-guided sheath and endoscopic aspiration with saline irrigation to preserve brain...
447
03:56An In Vitro Recombinant Virus Reporter System for the Detection of Viral Infection
643
This video demonstrates an in vitro technique to detect hepatitis B virus (HBV) infection via a recombinant HBV reporter system. Upon infecting host cells, the recombinant viral genome expresses the luciferase reporter enzyme, which produces bioluminescence upon oxidizing its substrate — helping detect viral...
643
03:49A Luciferase-Fluorescent Reporter Influenza Virus to Track Viral Infections
633
This video demonstrates a method to track viral infections in mouse models using a recombinant luciferase and fluorescence protein-expressing bi-reporter Influenza A virus. This method enables both in vivo and ex vivo studies, enabling researchers to gain insights into viral dynamics and the effects of...
633
05:21A Luciferase-fluorescent Reporter Influenza Virus for Live Imaging and Quantification of Viral Infection
26.0K
Influenza A viruses (IAVs) are contagious respiratory pathogens that cause annual epidemics and occasional pandemics. Here, we describe a protocol to track viral infections in vivo using a novel recombinant luciferase and fluorescence-expressing bi-reporter IAV (BIRFLU). This approach provides researchers with an excellent tool to study IAV in...
26.0K