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首页> 外文期刊>Acute Medicine & Surgery >Necrotizing enterocolitis associated with Clostridium butyricum in a Japanese man
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Necrotizing enterocolitis associated with Clostridium butyricum in a Japanese man

机译：一名日本男子与丁酸梭菌相关的坏死性小肠结肠炎

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Case Necrotizing enterocolitis ( NEC ) caused by Clostridium butyricum is common in neonates; however, a case of NEC in adults has not been previously reported. An 84‐year‐old Japanese man developed C.?butyricum ‐related NEC during hospitalization for treatment of stab wounds to the left side of the neck and lower abdomen, without organ damage, and concomitant pneumonia. Outcome The patient developed acute onset of emesis accompanied by shock during his admission; partial resection of the small intestine was carried out due to necrosis. Pathologic findings showed mucosal necrosis and extensive vacuolation with gram‐positive rods in the necrotic small intestine. Blood culture tests revealed C.?butyricum infection. The patient's condition improved after the surgery. He was moved to a rehabilitation hospital on day 66. Conclusion This study suggests that hospitalized adult patients who receive antibiotic treatment are at risk for NEC . Necrotizing enterocolitis ( NEC ) associated with Clostridium?butyricum in adults has not been reported previously. This is a case of a Japanese man who developed C.?butyricum ‐related NEC during hospitalization for treatment for a penetrating injury and concomitant pneumonia. This study suggested that hospitalized adults patients receiving antibiotics are at risk for NEC .
机译：由酪酸梭状芽胞杆菌引起的坏死性小肠结肠炎（NEC）在新生儿中很常见;但是，以前尚未有成人NEC病例的报道。一名84岁的日本男子在住院期间患上了丁丁酸梭状芽孢杆菌相关的NEC，用于治疗颈部左侧和小腹的刺伤，无器官损伤和伴随性肺炎。结果患者入院时出现急性呕吐并伴有休克。由于坏死而进行了小肠的部分切除。病理结果显示坏死小肠粘膜坏死，革兰氏阳性棒广泛空泡。血液培养测试显示丁酸梭状芽胞杆菌感染。手术后病人的病情好转。他在第66天被转移到康复医院。结论该研究表明，接受抗生素治疗的住院成年患者存在NEC的风险。以前没有关于成人丁丁酸梭菌相关的坏死性小肠结肠炎（NEC）的报道。这是一名日本男子的案例，他在住院期间患了丁丁酸梭状芽胞杆菌相关的NEC，用于治疗穿透伤和伴随性肺炎。这项研究表明，接受抗生素治疗的住院成人患者有发生NEC的危险。

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