肺炎克雷伯杆菌肝脓肿继发眼内炎1例
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v4i3.5199
Abstract
目的：讨论分析肺炎克雷伯杆菌肝脓肿继发眼内炎的有效治疗手段及疾病早期的预防措施。方法：通过回顾性总结报道我院2020年9月份收治的1例59岁女性肝脓肿继发眼内炎患者的诊治过程及预后,同时检索国内外相关文献来探讨肺炎克雷伯杆菌肝脓肿继发眼内炎的治疗措施,并为临床提供参考。结果：肺炎克雷伯杆菌肝脓肿继发眼内炎是由于肺克通过肠道及血流途径侵袭性感染肝脏,进而血源性播散至眼球而引起的严重致盲性眼内感染。糖尿病似乎是侵袭性综合征的危险因素之一。结论：早期肝脏脓肿引流进行细菌培养和药敏实验可以快速识别高毒力菌株、尽早应用敏感抗生素从而明显减少后遗症并改善患者预后。
Keywords
肺炎克雷伯杆菌；侵袭性肝脓肿；眼内炎
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[3] Casanova C, Lorente JA, Carrillo F,et al. Klebsiella pneumoniae liver abscess associated with septic endophthalm
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[5] Fung CP, Lin YT, Lin JC, et al. Klebsiella pneumoniae in gastrointestinal tract and pyogenic liver abscess. Emerg Infect Dis. 2012;18(8):1322-1325.
[6] Lindstrom ST, Healey PR, Chen SC. Metastatic septic endophthalmitis complicating pyogenic liver abscess caused by Klebsiella pneumoniae. Aust N Z J Med. 1997;27(1):77-78.
[7] Lin JC, Chang FY, Fung CP, et al. Do neutrophils play a role in establishing liver abscesses and distant metastases caused by Klebsiella pneumoniae?. PLoS One. 2010;5(11):e15005.
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