Microbiology of Infected Walled-off Necrosis Following Severe Acute Pancreatitis
نویسندگان
چکیده
1190. Relationship Between Enteropathogen and Acute Gastroenteritis Disease Severity: A Prospective Cohort Study Stephen Freedman, MDCM, MSc; Jianling Xie, MD, MPH; Alberto Nettel-Aguirre, PhD, PStat; Bonita Lee, MD MSc (Epi); Linda Chui, MD; Xiao-Li Pang, PhD; Ran Zhuo, PhD; Brendon Parsons, PhD; Otto G. Vanderkooi, MD; Phillip Tarr, MD, FIDSA; Samina Ali, MDCM; James A. Dickinson, MBBS, PhD; Evan Hagen, B.Sc.; Lawrence W Svenson, PhD; Shannon E. MacDonald, PhD, RN; Steven J. Drews, PhD; Raymond Tellier, MD, MSc; Tim Graham, MD, MSc; Martin Lavoie, MD; Judy Macdonald, MD and Alberta Provincial Pediatric EnTeric Infection TEam (APPETITE); Pediatrics, University of Calgary, Calgary, AB, Canada, Alberta Children’s Hospital, University of Calgary, Clagary, AB, Canada, Alberta Children’s Hospital Research Institute, O’Brien Population Health Institute, University of Calgary, Calgary, AB, Canada, Pediatrics, Stollery Children’s Hospital, Edmonton, AB, Canada, University of Alberta, Edmonton, AB, Canada, Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada, The University of Calgary, Calgary, AB, Canada, Washington University School of Medicine, St. Louis, Missouri, Family Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada, Alberta Children’s Hospital, University of Calgary, Calgary, AB, Canada, Analytics and Performance Reporting, Alberta Health Division of Preventive Medicine, University of Alberta, Calgary, AB, Canada, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada, Provincial Laboratory for Public Health, Edmonton, AB, Canada, University of Calgary, Calgary, AB, Canada, Government of Alberta, Edmonton, AB, Canada, Public Health, Alberta Health Services, Calgary, AB, Canada
منابع مشابه
Walled-off pancreatic necrosis and other current concepts in the radiological assessment of acute pancreatitis*
Acute pancreatitis is an inflammatory condition caused by intracellular activation and extravasation of inappropriate proteolytic enzymes determining destruction of pancreatic parenchyma and peripancreatic tissues. This is a fairly common clinical condition with two main presentations, namely, endematous pancreatitis - a less severe presentation -, and necrotizing pancreatitis - the most severe...
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Walled-off necrosis (WON) caused by fungal infection is very rare, and its treatment is more difficult than that of bacterial infection. We present the first case of a patient with refractory fungal-infected WON treated with percutaneous endoscopic necrosectomy and local administration of amphotericin B.A Japanese man in his 30s was hospitalized with severe necrotizing pancreatitis and multiple...
متن کاملEndoscopic transluminal pancreatic necrosectomy using a self-expanding metal stent and high-flow water-jet system.
Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality within the first few weeks after the onset of symptoms. Minimal invasive approaches with high success and low mortality rates are therefore of considerable interest. Endoscopic therap...
متن کاملNecrotizing Pancreatitis: Current Management and Therapies
Acute necrotizing pancreatitis accounts for 10% of acute pancreatitis (AP) cases and is associated with a higher mortality and morbidity. Necrosis within the first 4 weeks of disease onset is defined as an acute necrotic collection (ANC), while walled off pancreatic necrosis (WOPN) develops after 4 weeks of disease onset. An infected or symptomatic WOPN requires drainage. The management of panc...
متن کاملInfected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
Walled-off pancreatic necrosis (WOPN) is one of the most life-threatening complications of acute severe pancreatitis. Regarding its high mortality and morbidity without appropriate treatment, the drainage procedure is still the mainstay of the treatment for this condition. There are multiple drainage options for this event. To date, endoscopic drainage alone has not been adequate for this condi...
متن کاملA fatal case of a colonic fistula communicating with a walled-off area of pancreatic necrosis.
A 28-year-old woman with chronic glomerulonephritis who was treated with prednisolone for many years developed pneumonia due to Nocardia that required treatment with co-trimoxazole. She subsequently developed acute necrotizing pancreatitis and her hospital course was complicated by a prolonged fever. In the fourth week, a computed tomography (CT) scan of the abdomen to evaluate the severity of ...
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