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Peritonitis and Empyema due to Pasteurella Multocida: A Case Report

Pasteurella Multocida引起之腹膜炎及膿胸:病例報告

摘要


由Pasteurella multocida引起的腹膜炎及膿胸都是很罕見的。我們報告一個由P. multocida所引起腹膜炎合併膿胸的個案。這位68歲的男性農夫,飼養一隻狗。先前有肝硬化及慢性阻塞性肺疾病的病史。因為兩個小腿腫脹及尿量減少而住院,住院中發生敗血症及呼吸衰竭。從病人的腹水及肋膜積水中分離出P. multocida. 經過imipenem / cilastatin,amoxicillin / clavulanate的抗生素治療及胸管引流後病人順利出院。

關鍵字

腹膜炎 膿胸

並列摘要


Pasteurella multocida is a rare cause of peritonitis and empyema. We report here a case of peritonitis concomitant with empyema due to P. multocida. This 68-year-old male farmer and pet-dog owner with a history of liver cirrhosis and chronic obstructive pulmonary disease was admitted to the hospital due to bilateral legs edema for 3 months and decreased urine output for 7 days. Sepsis and acute respiratory failure developed during hospitalization. P. multocida was isolated from the cultures of ascites and pleural effusion. He was then discharged uneventfully after antibiotic treatment with imipenem / cilastatin, amoxicillin / clavulanate and close thoracentesis.

並列關鍵字

Pasteurella multocida Peritonitis Empyema

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