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題名:NOSOCOMIAL URINARY TRACT INFECTION RELATED RETROPERITONEAL ABSCESS WITH INTERNAL COLONIC FISTULA     (10點)
院內泌尿道感染併後腹腔破房與續發性內瘺管
著者:Shih-Hung Tsai(蔡適鴻) ;Wei-Chou Chang(張維洲) ;Chin-Wang Hsu(許金旺) ;Shi-Jye Chu(朱士傑) ;Wann-Cherng Perng(彭萬誠)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:後腹腔膿瘍 ; 泌尿道感染 ; 腸道瘺管 ; 抗藥性菌株 ; 院內感染 ; 克雷白氏菌 ; 萬古黴素抗藥性腸球菌 ; Retroperitoneal abscess ; Urinary tract infection ; Nosocomial infections ; Colonic fistula ; Klebsiella ; Vancomycin-resistence enterocuccus
刊名:Taiwan Critical Care Medicine
卷期:11卷4期(2010)
頁碼:275-279
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

後腹腔膿瘍常常不能被及時診斷。我們報告一呼吸器依賴病患發生導管相關之泌尿道感染後合併後腹腔膿瘍,續發與降結腸相通的內瘺管。併發後腹腔膿瘍可以是泌尿道感染控制不良的因素而與腸道相通的瘺管及發生廣泛抗藥性的乙內醯胺?的菌株皆使治療更?複雜化。反覆的瘺管造影及細菌培養應有助於監測膿瘍侵犯的範園;瘺管的癒合與否與否抗藥性菌株的生成。
Retroperitoneal abscess may not be diagnosed timely occasionally. Here we report a patient who had nosocomial urinary tract infection related retroperitoneal abscess and subsequently developed a secondary internal fistula to the adjacent descending colon. Nosocomial UTI related retroperitoneal abscess can be a source of occult infection that responses poorly to antibiotic treatment. Retroperitoneal abscess can be further complicated with internal colonic fistula. Repeated fistulography and culture may be necessary to identify the extensiveness of the abscess cavity and the development of resistant strains. The presence of multiple drug resistance pathogens can perplex the treatment course and repeated drainage will be required.


    

本卷期目次
Taiwan Critical Care Medicine 11卷4期 (2010)
改善急性腦中風病人血栓溶解治療評估效率之經驗及探討/ 顏正昌盧玉強萬樹人林清煌張運德羅崇誠陳立偉高志翔
THE ACUTE-PHASE HEART RATE VARIABILITY IN ACUTE CORONARY SYNDROME- THE IMPLICATIONS OF DIFFERENT ANALYSES/ Ho-Tsung HsinChi-Yu YangJiann-Shing ShiehPi-Chi LinLiang-Yu Chen
腦死病人生命末期照護/ 張麟黃勝堅蕭勝煌
CARDIOVASCULAR COLLAPSE AFTER GENERAL ANESTHETIC INDUCTION COMBINED WITH ESMOLOL/ Yu-Ling YehYi ChangWen-Wei LiaoHsiang -Chien TsengKuo-Ching Wang
PULMONARY ALVEOLAR PROTEINOSIS TREATED WITH WHOLE LUNG LAVAGE IN INTENSIVE CARE UNIT/ Yao-Chang WangJau-Yeong LuWein-Shung KuoMing-Teng ChungPen-Fang Yeh
NOSOCOMIAL URINARY TRACT INFECTION RELATED RETROPERITONEAL ABSCESS WITH INTERNAL COLONIC FISTULA/ Shih-Hung TsaiWei-Chou ChangChin-Wang HsuShi-Jye ChuWann-Cherng Perng
LIDOCAINE-ASSOCIATED SEVERE DYSPNEAAND PULMONARY INFILTRATES AFTER BRONCHOSCOPY: A CASE REPORT/ Kuan-Chun LinChi-Wen LaChia-An Chou
 
   
 
   

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