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題 名 | Left Facial Abscess Caused by Klebsiella Pneumoniae Infection in a Patient with Type 2 Diabetes Mellitus--A Case Report=第二型糖尿病患者感染克雷伯氏肺炎菌引發臉部嚴重蜂窩性組織炎--病例報告 |
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作 者 | 李宇璿; 林志恭; 張維晉; 謝義興; 王宜斌; 陳元武; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 30:2 2019.06[民108.06] |
頁 次 | 頁144-153 |
分類號 | 416.15 |
關鍵詞 | 蜂窩性組織炎; 克雷伯氏肺炎菌; 糖尿病; 頭頸部非齒源性感染; Cellulitis; Klebsiella pneumoniae; Type 2 diabetes mellitus; Nonodontogenic infection; |
語 文 | 英文(English) |
中文摘要 | 糖尿病患者因血液循環不良及免疫力低下而易受感染。近年來學者發現革蘭氏陰性克雷伯氏肺炎菌(Klebsiella pneumoniae)會造成伺機性感染,且常與肝、肺膿瘍相關。頭頸部感染多為齒源性來源,而克雷伯氏肺炎菌並非常見之齒源性感染致病菌。本病例為84歲患有糖尿病之女性,主訴左側唇角部疼痛,初步診斷為左唇潰瘍及化膿。因懷疑有黏膜之局部感染,經口服盤尼西林抗生素治療後未緩解,接續以腫脹程度增加,轉變為蜂窩性組織炎,於兩日後入院。入院即會診感染科,調整靜脈注射抗生素治療四天後,腫脹無明顯改善且擴散至左側頰側及頸部,變成嚴重之蜂窩性組織炎並危及生命,經清創手術及妥善照顧,於入院後十四天出院。手術檢體經細菌培養後後確為克雷伯氏肺炎菌,由於患者全口無牙,不似有其他可能之牙周或齲齒菌叢致病,此菌作為口內的正常菌叢,其感染說明伺機性感染在頭頸部蜂窩性組織炎扮演之重要角色。藉此與臨床醫師分享病例處理非齒源性蜂窩性組織炎之治療經驗。 |
英文摘要 | Patients with Type 2 diabetes mellitus (Type 2 DM) are at high risk of infections because of poor blood supply and a compromised immune system. Studies have shown that gram-negative Klebsiella pneumoniae (K. pneumoniae) are usually related to opportunistic infections in the liver and lungs. However, most head and neck infections with an odontogenic origin are rarely caused by K. pneumoniae. Here, we report the case of an diabetic 84-year-old female with painful swelling of the left oral commissure. The patient received intravenous antibiotic therapy for the first 4 days after admission. However, the symptoms did not subside and developed into life-threatening cellulitis. According to the bacterial culture report, K. pneumoniae was dominant. Antibiotics were then changed. Following immediate surgical debridement and appropriate care, the patient became stable and was finally discharged after 14 days of hospitalization. We present this case to share our experience in the management of nonodontogenic cellulitis of the head and neck. |
本系統中英文摘要資訊取自各篇刊載內容。