患者，男性，58岁，乙型肝炎后肝硬化失代偿期、2型糖尿病12年，近1个月再发腹胀、水肿，尿少入院。住院期间患者寒战、发热，取血标本进行培养，选用头孢哌酮/舒巴坦经验性抗感染治疗。确诊非O1/O139霍乱弧菌引起的血流感染，药敏试验提示头孢哌酮/舒巴坦敏感后，继续使用当前药物，头孢哌酮/舒巴坦由3 g q12h改为3 gq8h治疗。10 d后患者无发热，血培养和粪便霍乱弧菌培养阴性，好转出院。
Bloodstream infection caused by non-O1/O139 Vibrio cholerae in patient with decompensated cirrhosis:one case report
A 58-year-old male patient with decompensated cirrhosis after hepatitis B and type n diabetes for 12 years was admitted to hospital due to abdominal distension,edema and oliguria in recent one month.During hospi-talization period,the patient experienced chills and fever,blood specimens were taken for culture,empirical anti-in-fection treatment with cefoperazone/sulbactam was given.The diagnosis of bloodstream infection caused by non-O1/O139 Vibrio cholerae was confirmed,antimicrobial susceptibility testing indicated that cefoperazone/sulbactam was sensitive,current antimicrobial agent was continued,cefoperazone/sulbactam 3 g q12h was changed to 3 g q8h treatment.After 10 days,the patient had no fever,blood and fecal cultures were negative for Vibrio cholerae,con-dition was improved and patient was discharged from the hospital.
国家科技期刊平台
NSTL
万方数据
维普
