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題名 | 細菌性肝膿瘍併發肺部敗血性栓塞之處置=Management of Pyogenic Liver Abscess Associated with Septic Pulmonary Embolism |
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作者 | 陳立材; 呂春輝; 饒明元; 蔡文正; | 書刊名 | 藥學雜誌 |
卷期 | 27:2=107 2011.06[民100.06] |
頁次 | 頁38-43 |
分類號 | 415.53 |
關鍵詞 | 肝膿瘍; 肺部敗血性栓塞; 糖尿病; Liver abscess; Septic pulmonary embolism; Diabetes mellitus; |
語文 | 中文(Chinese) |
中文摘要 | 在台灣由克雷伯氏肺炎桿菌 (Klebsiella pneumoniae)引起之原發性肝膿瘍,常發生於糖尿病患者;且可能併發肺部敗血性栓塞。本文之案例,即為一長期血糖控制不佳之 69歲男性糖尿病患者,因出現噁心、嘔吐、食慾不佳、發燒等病狀持續四天後就醫,並由它院轉入本院急診而收入加護病房住院,之後診斷為 K. pneumoniae肝膿瘍合併肺部敗血性栓塞 (septic pulmonary embolism,SPE)。該病患於加護病房治療期間因感染了全抗藥性之鮑氏不動桿菌 (pandrug-resistant Acinetobacter baumaanii, PDRAB),在接受廣效抗生素的治療後,引發了念珠菌菌尿症 (candiduria)及嚴重偽膜性腸炎 (pseudonlembranous colitis)的併發症。在感染科醫師的積極適當治療下,於住院約 4週後病情獲得控制進而轉入一般病房持續治療。 |
英文摘要 | Klebsiella pneumoniae induced primary liver abscess with septic pulmonary embolism in Taiwan are more common in diabetic patients. The cases in this article shall be a poor glycemic control for long-term of diabetes mellitus patients, because of nausea, vomiting, poor appetite, fever for four days of 69-year-old male patient, which will turn into our emergency and hospitalized in an intensive care unit from other hospital, diagnosed were Klebsiella pneumoniae liver abscess with septic pulmonary embolism. The patient during in intensive care units were infected with the Pandrug-Resistant Acinetobacter baumaanii (PDRAB), and receiving broad-spectrum antibiotics for treatment, causing of candiduria and pseudonlembranous colitis, but through the adequate treatment from physician, at the hospital about 4 weeks after the disease under control was transferred from the intensive care unit to a general ward and continuous treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。