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題 名 | 醫源性腮腺膿瘍--病例報告=Iatrogenic Parotid Abscess--Case Report |
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作 者 | 林志峰; 葉啟偉; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 32:6 1997.12[民86.12] |
頁 次 | 頁141-145 |
分類號 | 416.8 |
關鍵詞 | 針灸; 腮腺膿瘍; 菌血症; Acupuncture; Parotid abscess; Bacteremia; |
語 文 | 中文(Chinese) |
中文摘要 | 腮腺膿瘍在臨床上並不多見,而且多為急性化膿性腮腺炎惡化所造成, 一般致病 轉機為細菌經由 Stensen 氏管開口逆行性感染所造成。 本院耳鼻喉科於 1995 年 10 月經 歷 1 名病患因右側腮腺腫大接受針灸、 膏藥治療數日後併發巨大腮腺膿瘍合併菌血症之病 例,膿瘍膿汁及血液培養結果均為格蘭氏陰性之厭氧菌 Citrobacter diversus。 在予以廣 效性抗生素下,病人先後接受膿瘍切開引流術及淺葉腮腺切除術後,直接縫合傷口,追蹤至 今,狀況良好。因此病例之致病機轉特殊,醫學文獻中尚未有類似之報告,故提出討論,以 供參考。 |
英文摘要 | Parotid abscess, uncommon in clinical practice, usually results from advanced development from acute suppurative parotitis. The common pathogenesis is retrograde bacteria infection via Stensen's duct by S. aureus and streptococcus species. A 72-year-old male patient developed a huge parotid abscess with bacteremia within 4 days after he received acupuncture and plaster therapy for his right parotid mass. Citrobacter diversus was revealed from both pus and blood culture. Citrobacter diversus is a species of anaerobic gram-negative bacteria that is rarely seen in parotid abscess but usually found in device or procedure related nosocomial infection in the literature. The patient was given wide-spectrum antibiotics to cover possible pathogenic bacteria. Then he underwent two operations: an urgent incision and drainage, and subsequent superficial parotidectomy. This patient was discharged one month after admission and no recurrence or complication was noted in our OPD follow-up. In our studies, this is the first report of acupuncture-induced parotid abscess with bacteremia caused by Citrobacter diversus in the literature. |
本系統中英文摘要資訊取自各篇刊載內容。