PDF(Pubmed)
Abstract：
A seroma is defined as a serous fluid collection that develops as a response to injury and surgeries, particularly mastectomy and reconstructive and abdominal surgeries. The majority of the seromas are self-limiting and arise in the acute postoperative period; however, diagnosis of seroma several years after surgery has also been reported in the literature. Persistent bacteremia with infected seroma as a source is a rare entity. We present the first case to be reported of persistent bacteremia secondary to infected seroma with septic emboli to lungs and prostate without any evidence of endocarditis on multiple echocardiograms. This case highlights the importance of meticulous physical examination and source control in the management of bacteremia.
摘要：
血清肿被定义为对损伤和手术的反应的浆液性液体集合，特别是乳房切除术和重建和腹部手术。大多数血清瘤是自限性的，出现在急性术后时期；然而，文献中也报道了手术后几年的血清肿诊断。以感染的血清瘤为来源的持续菌血症是一种罕见的实体。我们介绍了第一例报告的持续性菌血症，继发于感染的血清肿并伴有肺和前列腺的败血症，而在多次超声心动图上没有任何心内膜炎的证据。该病例突出了精心体检和源头控制在菌血症管理中的重要性。
