关键词: Escherichia fergusonii blood culture case report drug resistance esophageal cancer esophagectomy treatment

Mesh : Male Humans Aged Esophagectomy / adverse effects Escherichia Bacteremia / drug therapy etiology

来  源:   DOI:10.1177/03000605231167316   PDF(Pubmed)

Abstract:
We report the case of a 68-year-old man who experienced Escherichia fergusonii bacteremia after esophageal cancer surgery. The patient presented with complaints of abdominal pain persisting for 1 week. The patient was diagnosed with esophageal malignancy, which was confirmed by surgical exploration and pathological biopsy. The patient developed septic shock on postoperative day 12, and blood culture suggested the growth of E. fergusonii. After treatment with meropenem, the patient\'s clinical symptoms improved significantly, and the second culture was negative. In this paper, we discuss the characteristics, diagnosis, and treatment of E. fergusonii. E. fergusonii is rarely reported, and its pathogenesis, drug resistance, and potential effects have not been completely confirmed. Thus, this case report adds valuable knowledge to the literature on E. fergusonii.
摘要:
我们报告了一名68岁的男子在食管癌手术后经历了大肠杆菌菌血症的病例。患者出现腹痛持续1周的主诉。病人被诊断为食道恶性肿瘤,经手术探查和病理活检证实。患者在术后第12天出现脓毒性休克,血液培养提示Fergusonii生长。用美罗培南治疗后,患者的临床症状明显改善,第二种文化是阴性的。在本文中,我们讨论的特点,诊断,和治疗E.Fergusonii.很少报道E.Fergusonii,及其发病机理,耐药性,潜在影响尚未得到完全证实。因此,本病例报告为有关E.Fergusonii的文献增添了宝贵的知识.
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