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首页> 外文期刊>Case Reports in Infectious Diseases >A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy
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A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy

机译：一名接受化疗的患者中的多菌性细菌血症

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We report an aggressive case of polymicrobial bacteremia in a patient with renal pelvis carcinoma. A 76-year-old man developed watery diarrhea after undergoing chemotherapy. He became unconscious and went into shock. Laboratory data showed severe neutropenia, renal failure, and lactic acidosis. Chest radiography showed multiple opacities. He died despite aggressive fluid resuscitation, catecholamine administration, antibiotic treatment, and mechanical ventilation. Blood culture isolates included Escherichia coli, Klebsiella pneumoniae, Streptococcus pneumoniae, Acinetobacter baumannii, and Moraxella catarrhalis. The foci of bacteremia were the respiratory tract and the bowel. The two infection foci and polymicrobial bacteremia are thought to be associated with the patient’s poor prognosis. Although polymicrobial bacteremia is rare, awareness of this condition and of the rare causative pathogens, such as A. baumannii and M. catarrhalis, especially in patients with comorbidities and immunosuppression will help treat the patients with bacteremia.
机译：我们报道肾盂骨盆癌患者中的一例侵袭性微生物菌血症病例。一名76岁的男子在接受化疗后出现了水样腹泻。他失去知觉，震惊。实验室数据显示严重中性粒细胞减少，肾衰竭和乳酸性酸中毒。胸部X光片显示多处混浊。尽管进行了积极的液体复苏，儿茶酚胺治疗，抗生素治疗和机械通气，但他仍然死亡。血液培养分离株包括大肠杆菌，肺炎克雷伯菌，肺炎链球菌，鲍曼不动杆菌和卡他莫拉菌。菌血症的焦点是呼吸道和肠。人们认为这两种感染灶和多菌血症与患者预后不良有关。尽管多菌种菌血症很少见，但特别是在合并症和免疫抑制患者中，了解这种情况和罕见的病原体，例如鲍曼不动杆菌和卡他莫拉菌，将有助于治疗菌血症患者。

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