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典型文献
Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting
文献摘要:
Both empyema and type A aortic dissection are life-threatening conditions. The combination, though rare, can cause serious complications and death. There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium, Granulicatella adiacens, which is difficult to identify, and a Gram-negative bacterium, Escherichia coli. In this case, a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection. The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated. Considering the possibility that the patient’s infection was of digestive origin, a combination of Gram-positive and Gram-negative antibiotics was given immediately. Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid, and the patient was successfully treated with antimicrobial therapy and conservative treatment.
文献关键词:
Case report;Empyema;Escherichia coli;Granulicatella adiacens;Acute aortic dissection
作者姓名:
Huang Jiawen;Huang Chengfeng;Lin Zhaoming;Liu Huanan;Zhang Xiaoshen
作者机构:
Department of Pharmacy, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong 510630, China;Department of Cardiovascular Surgery, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong 510630, China
引用格式:
[1]Huang Jiawen;Huang Chengfeng;Lin Zhaoming;Liu Huanan;Zhang Xiaoshen-.Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting)[J].心血管病探索(英文),2022(02):127-130
A类:
Empyema,Vomiting,empyema,adiacens,Etiological
B类:
Case,Report,Esophageal,Rupture,Aortic,Dissection,Potentially,Caused,by,Severe,Both,type,aortic,dissection,life,threatening,conditions,combination,though,rare,can,serious,complications,death,There,have,been,cases,caused,infection,Gram,positive,bacterium,Granulicatella,which,difficult,identify,negative,Escherichia,coli,In,this,year,old,man,was,referred,emergency,department,due,sudden,chest,pain,suspected,diagnosis,patient,subsequently,found,morbid,fissure,esophagus,when,disease,investigated,Considering,possibility,that,digestive,origin,antibiotics,given,immediately,examination,later,confirmed,presence,drainage,fluid,successfully,treated,antimicrobial,therapy,conservative,treatment,report,Acute
AB值:
0.557661
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