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中华临床医师杂志(电子版) ›› 2023, Vol. 17 ›› Issue (08) : 920 -923. doi: 10.3877/cma.j.issn.1674-0785.2023.08.014

病例报告

多囊肾合并囊肿的多重耐药菌感染一例并文献复习
李静静(), 翟蕾, 赵海平, 郑波   
  1. 100068 北京,中国康复研究中心北京博爱医院重症医学科
    100034 北京,北京大学第一医院临床药理研究所
  • 收稿日期:2023-01-19 出版日期:2023-08-15
  • 通信作者: 李静静

Polycystic kidney disease complicated with cystic infection caused by multi-drug resistant Klebsiella pneumoniae: a case report and literature review

Jingjing Li(), Lei Zhai, Haiping Zhao, Bo Zheng   

  1. Department of Critical Care Medicine, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068, China
    Institute of Clinical Pharmacology, Peking University First Hospital, Beijing 100034, China
  • Received:2023-01-19 Published:2023-08-15
  • Corresponding author: Jingjing Li
引用本文:

李静静, 翟蕾, 赵海平, 郑波. 多囊肾合并囊肿的多重耐药菌感染一例并文献复习[J]. 中华临床医师杂志(电子版), 2023, 17(08): 920-923.

Jingjing Li, Lei Zhai, Haiping Zhao, Bo Zheng. Polycystic kidney disease complicated with cystic infection caused by multi-drug resistant Klebsiella pneumoniae: a case report and literature review[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(08): 920-923.

囊肿感染是多囊肾患者的常见临床并发症,该感染难控制、易复发,甚则危及患者生命;尤其是耐药菌导致的囊肿感染,治疗难度明显增大。本文报道1例碳青霉烯耐药肺炎克雷伯菌导致的多囊肾囊肿感染伴菌血症,通过抗菌药物联合使用及内引流的形成取得较满意的疗效;旨在为该病的临床诊疗提供部分思路。

Cyst infection, a common complication in patients with polycystic kidney disease, is difficult to control, prone to recurrence, and even life-threatening. In particular, cyst infections caused by drug-resistant bacteria are significantly more difficult to treat. In this paper, we report a case of polycystic kidney disease complicated with cyst infection with bacteremia caused by carbapenem-resistant Klebsiella pneumoniae. Satisfactory efficacy was achieved by using antibacterial drugs combined with internal drainage. This case report aims to provide some ideas for the clinical diagnosis and treatment of this condition.

表1 患者的尿培养鉴定及药敏结果:肺炎克雷伯菌(S:敏感,R:耐药)
图1 患者的腹部CT资料
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