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頁籤選單縮合
| 題 名 | Acute Bacterial Parotitis with Severe Sepsis in a Patient with Congestive Heart Failure: Report of a Case and Review of the Literature=一位心臟衰竭等待心臟移植的病人併發急性細菌性扁桃腺炎及敗血症 |
|---|---|
| 作 者 | 林進達; 許博順; 蔡建松; | 書刊名 | Journal of Medical Sciences |
| 卷 期 | 30:1 2010.02[民99.02] |
| 頁 次 | 頁37-39 |
| 分類號 | 415.319 |
| 關鍵詞 | 心臟衰竭; 心臟移植; 敗血症; 扁桃腺炎; Acute bacterial parotitis; Heart transplantation; Heart failure; Excessive dehydration; |
| 語 文 | 英文(English) |
| 英文摘要 | Acute bacterial parotitis (ABP) is an uncommon infection of the parotid gland that tends to occur in immunocompromised patients. The most predominant pathogen causing ABP is Staphylococcus aureus. We report a case of a patient with valvular heart disease and dilated cardiomyopathy accompanied by congestive heart failure (NYHA, Fc IV). During hospitalization, the cardiac preload of patients is reduced by restricting their fluid intake and administering appropriate diuretic therapy. Unfortunately, our patient developed nosocomial pneumonia and ABP with methicillin-resistant Staphylococcus aureus (MRSA) infection and subsequent bacteremia with sepsis. Herein, we emphasize that the maintenance of good oral hygiene, adequate dehydration, and proper antimicrobial therapy in the event of concurrent infection may reduce the occurrence of ABP in patients with excessive dehydration due to severe heart failure. |
本系統中英文摘要資訊取自各篇刊載內容。