首页> 外文期刊>Asian journal of surgery >Management of carbapenem-resistant Klebsiella pneumoniae infection in a patient with diabetic foot ulcer and necrotizing soft tissue infection, bacteremia and lung infection: A case report
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Management of carbapenem-resistant Klebsiella pneumoniae infection in a patient with diabetic foot ulcer and necrotizing soft tissue infection, bacteremia and lung infection: A case report

机译:Carbapenem抗性的管理 klebsiella pneumoniae 患有糖尿病足溃疡和坏死软组织感染,菌血症和肺部感染的患者感染:案例报告

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While many diabetic patients with foot infection were treated in our hospital every year, this was a unique case with such an exten- sive soft tissue infection and necrosis. The followings were key stra- tegies to treat this case. First, laboratory and _ radiological examinations including MRI of the infected leg were necessary. Sec- ond, aggressive debridement surgery and suction with negative pressure were crucial in that it could be helpful for wound healing and tissue repair. However, if the infection threat patient's life, amputation should be performed immediately. Third, appropriate application of antibiotics was crucial. Based on the result of bacte- rial culture with positive carbepenem-resistant Klabeslia pneumo- niae, polymyxin B in combination with tigecycline, imipenem, and isepamicin were used for 2 weeks for the patient in the current case report. Fourth, cooperation of specialists from various spe- cialties was crucial for the successful treatment of severe infection in the diabetic patients.” Close cooperation between Pulmonologist (mechanical ventilation), Endocrinologist, Nutritionist, Radiologist, and Sugeons played a key role in the successful management of the current case.
机译:虽然许多患有足部感染的糖尿病患者每年在我们的医院治疗,但这是一个独特的案例,具有这种剧烈的软组织感染和坏死。以下是对待这种情况的关键反射赛。首先,必要的实验室和_放射学检查包括感染腿的MRI。分离,侵略性的清创术手术和负压的吸力至关重要,因为它可能有助于伤口愈合和组织修复。但是,如果感染威胁患者的生命,应立即进行截肢。第三,适当应用抗生素至关重要。基于Bacte-Rial培养的抗性Klabeslia Pneumo-Niae,多种子蛋白B与Tigeccline,ImipeNem和Isepamicin组合的患者在当前情况报告中使用2周。第四,各种特派团的专家合作对于糖尿病患者严重感染的成功治疗至关重要。“密切合作(机械通风),内分泌学家,营养学家,放射科医生和独立在当前案件的成功管理中发挥了关键作用。

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