阻塞性肌炎与肠球菌性细菌病,尽管尿液分析不显著
Yoshihiro Kawaguchi1, Sota Umetani2, Kazuki Nitahata3
1Department of Urology, Saiseikai Futsukaichi Hospital, Fukuoka, JPN.
Cureus
|February 23, 2026
概括
由Enterococcus faecalis引起的阻塞性炎症可以在没有尿路异常的情况下出现. 及时诊断和重新评估抗生素治疗对于成功治疗至关重要,即使是阴性尿液分析.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 阻塞性炎症的诊断在正常的尿液分析中可能很困难.
- Enterococcus faecalis会导致复杂的尿路感染和细菌病,有时在阻塞的情况下出现不典型的表现.
研究的目的:
- 为了突出阻塞性肺炎的诊断挑战.
- 为了强调考虑这种诊断的重要性,尽管尿液分析并不显著.
- 为了说明需要重新评估抗微生物治疗在尿道排水后持续发烧的必要性.
主要方法:
- 一个73岁的老人患有发烧和侧肩疼痛的病例报告.
- 最初的评估包括正常的尿液分析和对E. faecalis.的阳性血液培养.
- 诊断通过CT扫描证实,显示尿管结石,水,以及随后从骨的尿液培养.
主要成果:
- 患者出现发烧和侧肩疼痛,但尿液分析正常.
- 鉴定出了E. faecalis细菌性病,诊断出了阻塞性肌炎.
- 在持续发烧后,初始抗生素治疗 (cefmetazole) 被切换为阿莫西西林/克拉夫兰酸,导致快速改善.
结论:
- 即使有阴性尿液检测结果,也应该怀疑阻塞性发炎.
- 排尿后持续发烧需要重新评估抗微生物药物治疗.
- Enterococcus faecalis可以导致尿路受阻的严重感染,需要量身定制的治疗.
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