重症脓毒症患者肝脏和肌肉同时快速钙化的病例报告。

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Clinical Medicine Pub Date : 2024-03-01 Epub Date: 2024-04-06 DOI:10.1016/j.clinme.2024.100036
Tiara Joy Foo, Su-Ann Cheng, Xi Zhen Low, Chun En Chua
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引用次数: 0

摘要

一名 76 岁的马来女性患者因发烧和呕吐就诊 2 天。腹部和骨盆计算机断层扫描(CTAP)发现她患有大肠埃希菌和肺炎克雷伯菌菌血症,腹腔内病因不明。静脉注射美罗培南两周后,她的临床症状有所好转。随后,她出现了脓毒性休克,重复的 CTAP 显示肝实质密度增高,并伴有广泛的实质钙化。脊柱旁和骨盆肌肉组织也出现了曲线状钙化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case report on rapid development of simultaneous liver and musculature calcifications in severe sepsis.

A 76-year-old Malay female presented with 2 days history of fever and vomiting. She was found to have Escherichia coli and Klebsiella pneumoniae bacteraemia with no clear intra-abdominal cause on the initial computed tomography of the abdomen and pelvis (CTAP). She clinically improved with 2 weeks duration of intravenous meropenem. She subsequently developed septic shock and a repeated CTAP demonstrated increased hepatic parenchymal density with extensive parenchymal calcifications. Curvilinear calcifications were seen in the paraspinal and pelvic musculature.

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来源期刊
Clinical Medicine
Clinical Medicine 医学-医学:内科
CiteScore
7.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Clinical Medicine is aimed at practising physicians in the UK and overseas and has relevance to all those managing or working within the healthcare sector. Available in print and online, the journal seeks to encourage high standards of medical care by promoting good clinical practice through original research, review and comment. The journal also includes a dedicated continuing medical education (CME) section in each issue. This presents the latest advances in a chosen specialty, with self-assessment questions at the end of each topic enabling CPD accreditation to be acquired. ISSN: 1470-2118 E-ISSN: 1473-4893 Frequency: 6 issues per year
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