爱德华·塔达(E.tarda)是一种革兰氏阴性杆菌,通常从水生环境和各种水生动物中分离出来。它很少引起人类感染,但是罕见的人类感染主要是通过摄入受感染的海鲜或水生动物而发生的。症状包括发烧,胃肠炎,腹泻,但也有严重的肠外感染的报道。本报告描述了一名76岁的女性在急性肾盂肾炎后发展为E.tarda感染并伴有髂腰脓肿。她的主要抱怨是疲劳和移动困难。血液检查显示炎症反应增加,但从患者的病史中无法确定病因,物理发现,和成像发现。我们根据革兰氏染色结果诊断为尿路感染,并开始治疗,但此后持续发烧,进行对比增强CT扫描以进行重新评估,发现髂腰肌脓肿。CT引导下脓肿引流后,患者取得了良好的进展,并在介绍后的第48天被转移到康复医院。据我们所知,本报告首次报道一例急性肾盂肾炎后急性塔尔达感染髂腰肌脓肿。髂腰肌脓肿通常难以诊断。在这个案例报告中,我们还介绍了我们如何诊断和治疗髂腰肌脓肿。
Edwardsiella tarda (E. tarda) is a gram-negative bacillus commonly isolated from aquatic environments and various aquatic animals. It rarely causes infections in humans, but rare human infections occur primarily through ingestion of infected seafood or aquatic animals. Symptoms include fever, gastroenteritis, and diarrhea, but severe extraintestinal infections have also been reported. This report describes a 76-year-old female developing E. tarda infection with iliopsoas abscess following acute
pyelonephritis. Her chief complaint was fatigue and difficulty moving. Blood tests showed an increased inflammatory response, but the cause could not be identified from the patient\'s medical history, physical findings, and imaging findings. We diagnosed it as a urinary tract infection from the results of gram staining and started treatment, but the fever persisted thereafter, and a contrast-enhanced CT scan performed for re-evaluation revealed an iliopsoas abscess. After CT-guided abscess drainage, the patient made good progress and was transferred to a rehabilitation hospital on day 48 of the presentation. To the best of our knowledge, this is the first report of a
case of E. tarda infection with iliopsoas abscess following acute
pyelonephritis. Iliopsoas abscess is often difficult to diagnose. In this
case report, we also present how we diagnosed and treated iliopsoas abscesses.