Acute- on- chronic liver failure with brain abscess and pulmonary abscess caused by Sphingomonas paucimobilis:a report of one case
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摘要: <正>1临床资料患者,男性,25岁,因纳差、乏力、腹胀20 d,皮肤巩膜黄染5 d,于2012年6月15日入院。病史:4个月前在当地医院体检确诊"慢性乙型肝炎",口服中成药治疗。20 d前出现纳差、乏力、腹部胀痛,5 d前发现全身皮肤巩膜黄染,遂来本院诊治。化验乙型肝炎5项提示HBsAg阳性,抗-HBs阴性,HBeAg阴性,抗-HBe阳性,HBcAg阳性;肝功能示:AST 872
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Key words:
- liver failure /
- psendomonasaeruginosa /
- abscess /
- case reports
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[1] Liver Failure and Artificial Liver Group, Chinese Society of Infectious Diseases, CMA;Severe Liver Disease and Artificial Liver Group, Chinese Society of Hepatology, CMA.Guideline for diagnosis and treatment of liver failure[J].Chin J Clin Infect Dis, 2012, 5 (6) :321-327. (in Chinese) 中华医学会感染病学分会肝衰竭与人工肝学组.肝衰竭诊治指南 (2012年版) [J].中华临床感染病杂志, 2012, 5 (6) :321-327. [2]DUAN ZP, CHEN Y.Recent progress and future perspectives of liver failure diagnosis and treatment strategies[J].J Clin Hepatol, 2012, 28 (10) :721-725. (in Chinese) 段钟平, 陈煜.肝衰竭诊疗:进展与展望[J].临床肝胆病杂志, 2012, 28 (10) :721-725. [3]ZHENG S, YANG JH.Research advances in pathogenesis of acute-on-chronic liver failure[J/CD].Chin J Liver Dis:Electron Vers, 2012, 4 (3) :61-64. (in Chinese) 郑盛, 杨晋辉.慢加急性肝衰竭发病机制研究进展[J/CD].中国肝脏病杂志:电子版, 2012, 4 (3) :61-64. [4]YE YN, GAO ZL.Three attacks in the development of HBV-related liver failure[J].Infect Dis Info, 2009, 22 (5) :276-280. (in Chinese) 叶一农, 高志良.乙型肝炎肝衰竭发生机制中的三重打击[J].传染病信息, 2009, 22 (5) :276-280. [5]ZHANG XQ, NIE QH.Application and evaluation of glucocorticoids in treatment of severe hepatitis[J].J Clin Hepatol, 2004, 7 (2) :70-72. (in Chinese) 张绪清, 聂青和.糖皮质激素在治疗重型肝炎中的应用及评价[J].实用肝脏病杂志, 2004, 7 (2) :70-72. [6]KILIC A, SENSES Z, KUREKCI AE, et al.Nosocomial outbreak of Sphingomonas paucimobilis bacteremia in a hemato/oncology unit[J].Jpn J Infect Dis, 2007, 60 (6) :394-396. [7]MARAGAKIS LL, CHAIWARITH R, SRINIVASANA, et al.Sphingomonas paucimobilis bloodstream infections associated with contaminated intravenous fentanyl[J].Emerg Infect Dis, 2009, 15 (1) :12-18. [8]YANG JF, JIAO Q, MA WH.One case of intracranial infection caused by Sphingomonas paucimobilis[J].J Brain Nerv Dis, 2008, 16 (4) :517-518. (in Chinese) 杨静芳, 焦青, 马婉红.少动鞘氨醇单胞菌引起颅内感染1例[J].脑与神经疾病杂志, 2008, 16 (4) :517-518. [9]ZHOU YQ, LIANG RL.One case of bacteremia caused by Sphingomonas paucimobilis[J].Chin J Nosocomiol, 2004, 14 (2) :161. (in Chinese) 周远青, 梁瑞莲.少动鞘氨醇单胞菌致菌血症1例[J].中华医院感染学杂志, 2004, 14 (2) :161. [10]XIE WF, CHEN YX.Clinical hepatology[M].Beijing:People’s Medical Publishing House, 2012:239. (in Chinese) 谢渭芬, 陈岳祥.临床肝脏病学[M].北京:人民卫生出版社, 2012:239. [11]GAO LH, NIE QH.Progress in clinical treatment of secondary infection in patients with liver failure[J].Chin Hepatol, 2013, 18 (1) :61. (in Chinese) 高禄化, 聂青和.肝衰竭继发感染临床进展[J].肝脏, 2013, 18 (1) :61.
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