首页> 外文期刊>感染症学雑誌 >A case of receipieut of kidney transplantation presenting life-threatning preumothorax due to the rupture of intrapulmonary multiple infections cavities caused by Absidia corymbifera and methicillin-resistant Staphylococcus aureus
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A case of receipieut of kidney transplantation presenting life-threatning preumothorax due to the rupture of intrapulmonary multiple infections cavities caused by Absidia corymbifera and methicillin-resistant Staphylococcus aureus

机译:肾移植的案例呈生命威胁葡萄球菌的破裂,植物危害葡萄球菌患者破裂

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摘要

We report a rare case of life-threatning pneumothorax induced by multiple intrapulmonary cavitary lesion due to Absidia corymbifera and methicillin-resistant Staphylococcus aureus (MRSA). The patient was a 58-year-old man who had undergone kidney transplantation three year ago due to diabetes renal failure. He had been treated with immunosuppressive drugs and prednisolone, but he had neutropenia and an abnormal shadow on the chest X-ray. His chest X-ray findings became worse inspite of broad-spectrum antibiotis, vancomycin, antivirus drug, gamma-globulin and antifungal drug therapy. He came to our emergency center because of dyspnea due to right massive pleural effusion and peumothorax about two months after onset of neutropenia. His arterial blood gas showed severe hypoxia and the chest CT scan showed birateral pleural effusion and multiple intrapulmonary cavities. He was treated with chest tube drainage and intubated, but he died of progressive respiratory failure on admission day 3. Macroscopic and microbiologic findings of necroptic lung revealed the cavity with fistula in the middle lobe, which included debris with mucor and MRSA. The species of mucor identified as Absidia corymbifera as a result of analysis of BLAST with nested-PCR using the palafin-block.
机译:我们报告了罕见的含生命危及生命危及的肺炎肺病毒诱导的危及肺术病灶,因子源性纤维和耐甲氧脲葡萄球菌(MRSA)。由于糖尿病肾功能衰竭,患者是一名58岁的男子,在三年前经历了肾移植。他已被免疫抑制药物和泼尼松治疗治疗,但他患有中性粒细胞症和胸部X射线的异常阴影。他的胸部X射线发现变得更糟的广谱抗生素,万古霉素,防病毒药物,γ-球蛋白和抗真菌药物治疗。他来到了我们的急诊中心,因为呼吸困难,由于伴有良好的胸腔积液和培养症术后中性粒细胞减少后约两个月。他的动脉血气显示出严重的缺氧,胸部CT扫描显示出双边形胸腔积液和多个肺腔腔。他被胸管排水和插管治疗,但他在入院第旦时第3天死于渐进的呼吸衰竭3. Necrophoptic Lung的宏观和微生物学发现揭示了中间叶中瘘管的腔,其中包括粘液和MRSA的碎屑。用Palafin-嵌段分析用巢式PCR分析嵌入PCR,鉴定为Absidia Corymbifera的物种。

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