M ultiple Organ Failure Followed by Intrauterine Klebsiella Pneumoniae Infection Associated with Diabetes M ellitus
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概要
- 論文の詳細を見る
A 49-year-old semi-conscious woman was admitted due to fever and dehydration. Disseminatedintravascular coagulation (DIC), renal dysfunction and diabetic ketoacidosis were detected. Wholebody computed tomography showed multiple nodular lesions in bilateral lungs and kidneys indicatingseptic emboli, and intrauterine lesions. We diagnosed multiple organ failure followed by intrauterineinfection due to untreated diabetes mellitus. Vaginal discharge and blood culture revealed Klebsiellapneumoniae. We used multi-antibiotics for sepsis,respirator at low tidal volume ventilation,200mg ofsivelestat sodium hydrate and 300mg of hydrocortisone for respiratory failure, gabexate mesilate andanti-thrombin III for DIC, transfusion for bleeding from uterus and regular insulin aiming for a bloodglucose range of from 80 to 140mg/dl. When we extracted the myoma uteri,the patient’s fever subsidedand the C-reactive protein became negative. Treating diabetes mellitus is important for the preventionof severe infection.
- 北関東医学会の論文
著者
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Nagai Takashi
Department of Internal Medicine, Public Tomioka General Hospital
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Tonouchi Kazunori
Department of Internal Medicine, Public Tomioka General Hospital
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Tonooka Naoko
Department of Internal Medicine, Public Tomioka General Hospital
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Imamura Makoto
Department of Internal Medicine, Public Tomioka General Hospital
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Nagai Takashi
Department Of Animal Breeding And Reproduction National Institute Of Livestock And Grassland Science
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Inoue Chiharu
Department of Internal Medicine, Public Tomioka General Hospital
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Kaneko Katumi
Department of Internal Medicine, Public Tomioka General Hospital
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Honma Manabu
Department of Pathology, Public Tomioka General Hospital
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Imamura Makoto
Department Of Internal Medicine Public Tomioka General Hospital
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IMAMURA Makoto
Department of Applied Chemistry, Faculty of Science and Engineering, Chuo University
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