A Case of Septic Pulmonary Embolism Caused by <i>Rhodococcus erythropolis</i> Complicated by Chronic Idiopathic Intestinal Pseudo-obstruction
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- Takayama Keita
- Department of Pediatric Surgery, Osaka University Hospital
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- Tazuke Yuko
- Department of Pediatric Surgery, Osaka University Hospital
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- Uga Naoko
- Department of Pediatric Surgery, Osaka University Hospital
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- Deguchi Koichi
- Department of Pediatric Surgery, Osaka University Hospital
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- Masahata Kazunori
- Department of Pediatric Surgery, Osaka University Hospital
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- Nomura Motonari
- Department of Pediatric Surgery, Osaka University Hospital
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- Watanabe Miho
- Department of Pediatric Surgery, Osaka University Hospital
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- Kamiyama Masahumi
- Department of Pediatric Surgery, Osaka University Hospital
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- Ueno Takehisa
- Department of Pediatric Surgery, Osaka University Hospital
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- Okuyama Hiroomi
- Department of Pediatric Surgery, Osaka University Hospital
Bibliographic Information
- Other Title
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- 慢性仮性腸閉塞に合併した<i>Rhodococcus erythropolis</i>による敗血症性肺塞栓症の1例
- 慢性仮性腸閉塞に合併したRhodococcus erythropolisによる敗血症性肺塞栓症の1例
- マンセイ カセイ チョウ ヘイソク ニ ガッペイ シタ Rhodococcus erythropolis ニ ヨル ハイケツショウセイ ハイ ソクセンショウ ノ 1レイ
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Abstract
<p>Catheter-related bloodstream infection (CRBSI) is one of the serious complications in patients with chronic idiopathic intestinal pseudo-obstruction (CIPO). Moreover, septic pulmonary embolism (SPE) is a very rare complication in patients on home parenteral nutrition (HPN). Herein, we report a case of CIPO with SPE complicated by CRBSI due to Rhodococcus erythropolis, which is a naturally occurring bacterium.</p><p>The patient was a 36-year-old woman with CIPO on HPN. She had a one-month history of continued fever and cough of unknown origin. Chest computed tomography showed multiple nodules in both her lungs, and R. erythropolis was isolated from a peripheral blood culture. She was diagnosed as having CRBSI and SPE. She underwent antibiotic therapy for eight weeks, and her blood culture results became negative. However, the patient repeatedly had a fever with positive blood culture results. We replaced the catheter, after which her fever resolved. Moreover, the multiple lung nodules were further reduced in size.</p>
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 60 (1), 68-72, 2024-02-20
The Japanese Society of Pediatric Surgeons
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Keywords
Details 詳細情報について
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- CRID
- 1390862157392122752
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 033358397
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
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- Abstract License Flag
- Disallowed