ID 110589
Title Transcription
ショクドウガン ジュツゴ ニ メチシリン タイセイ ヒョウヒ ブドウキュウキン ニヨル ハイエン オ ガッペイ シタ 1レイ
Title Alternative
A case of pneumonia after esophagectomy due to methicilin-resistant Staphylococcus epidermidis
Author
Masamune, Katsuhiro Department of Surgery, Shikoku Central Hospital
Konegawa, Ryuji Department of Surgery, Shikoku Central Hospital
Hanaki, Norikazu Department of Surgery, Shikoku Central Hospital
Iuchi, Masahiro Department of Surgery, Shikoku Central Hospital
Nishi, Masaharu Department of Digestive Pediatric Surgery, The University of Tokushima School of Medicine
Keywords
methicilin-resistant Staphylococcus epidermidis (MRSE)
methicilin-resistant coagulase-negative Staphylococci (MRCNS)
pneumonia
esophageal cancer
esophagectomy
Content Type
Journal Article
Description
Methicilin-resistant Staphylococcus aureus (MRSA) is well known as the causative agent in severe infections, but we had recognized methicilin-resistant Staphylococcus epidermidis(MRSE) was not the pathogen. However, MRSE has become to be caused of serious infectious diseases to compromised hosts. A case of severe pneumonia after esophagectomy due to MRSE is reported.A 60 year-old man underwent an esophagectomy for esophageal cancer. During artificial ventilation, on the 6th postoperative day, high fever and leucocytosis were observed, and chest X-P showed severe pneumonia. A tracheotomy was performed and only MRSE was isolated from the sputum. Vancomycin and minocycline were used intravenously. The pneumonia improved gradually and the respirator removed on the 20th postoperative day. MRSE is considered less pathogenic than MRSA, but it is necessary that MRSE is recognized one of the important causes of severe infection after major operations.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
1-2
Start Page
63
End Page
67
Sort Key
63
Published Date
2003-04-25
Remark
P.67 アルファベット表記誤記あり (誤)Touru Imura →(正)Satoru Imura (誤) Tokuichi Hanaki → (正) Norikazu Hanaki
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital