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Severe complicated Clostridium difficile infection: A case report
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 8
- DOI:
- 10.11569/wcjd.v28.i8.308
- Key Word:
- 艰难梭菌;腹腔内高压;抗感染治疗
Abstract： 背景 艰难梭菌(Clostridium difficile,CD)是引起医院内肠道感染的主要致病菌之一,通常由长期或不规范使用抗菌药物引起,CD感染(CD infection, CDI)主要是由产毒素CD过度繁殖释放毒素导致肠道菌群失调引起,主要临床症状为腹痛、水样腹泻、发热.通过对这例重度复杂CDI诊治的梳理,以期在临床上对此病尽早识别、规范治疗.患者颅脑部手术后应用多种抗生素预防及治疗感染,出现腹胀腹泻症状后,易误诊为感染性腹泻,继续升级抗生素造成病情加重.病例简介 本例患者曾被误诊为感染性腹泻,继续升级抗生素造成病情加重,后经粪便化验、复查CT进一步确诊为重度复杂CDI.结论 临床医生要拓宽思路,结合临床经验进行综合诊断,必要时请专科医生协助诊断.我们认识到当怀疑为严重或复杂的CDI时,应立即开始经验治疗,早期识别、积极治疗至关重要.
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