脓毒性肾静脉血栓形成并发脓毒性肺栓塞。

Comprehensive therapy Pub Date : 2010-01-01
Fahad M Iqbal, Kamel Sadat, Joel B Spear
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引用次数: 0

摘要

一名36岁的艾滋病毒感染者入院,可能患有左肾肾盂肾炎和左肾静脉3.5厘米血栓,突然出现呼吸困难。CT示多发空化结节,吸出化脓性液体。从肺部和血液中分离的MRSA具有相同的敏感性模式。在开始静脉注射肝素之前,患者对抗生素没有反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Septic renal vein thrombosis complicated by septic pulmonary embolism.

A 36-year-old HIV-infected man admitted with a possible pyelonephritis of the left kidney and a 3.5 cm thrombus of the left renal vein developed sudden onset of dyspnea. Multiple cavitating nodules revealed under CT were aspirated yielding purulent fluid. MRSA isolates, from both the lung and blood had identical susceptibility patterns. The patient failed to respond to antibiotics until intravenous heparin was begun.

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