RESUMEN
We report a 48-year-old male admitted to hospital due to a severe alcoholic pancreatitis. At four weeks of evolution of the acute episode, an abdominal CAT scan showed a fluid collection of 20 cm diameter located in the pancreatic tail and 2 small collections in the head. The patient received several antimicrobials and during the seventh week of evolution, while receiving vancomycin, presented fever. A fine needle aspiration of the cyst revealed the presence of Haemophilus parainfluenzae biotype VIII. The patient was treated with amoxicillin-clavulanic acid and a laparoscopic cysto-gastrostomy, with a good clinical response.
Asunto(s)
Infecciones por Haemophilus , Haemophilus parainfluenzae/aislamiento & purificación , Seudoquiste Pancreático/microbiología , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Antibacterianos/uso terapéutico , Infecciones por Haemophilus/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Seudoquiste Pancreático/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
We report a 48-year-old male admitted to hospital due to a severe alcoholic pancreatitis. At four weeks of evolution of the acute episode, an abdominal CAT scan showed a fluid collection of 20 cm diameter located in the pancreatic tail and 2 small collections in the head. The patient received several antimicrobials and during the seventh week of evolution, while receiving vancomycin, presented fever. A fine needle aspiration of the cyst revealed the presence of Haemophilus parainfluenzae biotype VIII. The patient was treated with amoxicillin-clavulanic acid and a laparoscopic cysto-gastrostomy, with a good clinical response.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Infecciones por Haemophilus , Haemophilus parainfluenzae/aislamiento & purificación , Seudoquiste Pancreático/microbiología , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Antibacterianos/uso terapéutico , Infecciones por Haemophilus/tratamiento farmacológico , Seudoquiste Pancreático , Tomografía Computarizada por Rayos XAsunto(s)
Apraxias/diagnóstico , Apraxias/etiología , Apraxias/fisiopatología , Encéfalo/irrigación sanguínea , Encéfalo/patología , Encéfalo/fisiopatología , Isquemia Encefálica/complicaciones , Isquemia Encefálica/patología , Isquemia Encefálica/fisiopatología , Lateralidad Funcional/fisiología , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana EdadRESUMEN
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