التفاصيل البيبلوغرافية
| العنوان: |
Postoperative M ycoplasma hominis infection after robot-assisted laparoscopic radical prostatectomy: A case report. |
| المؤلفون: |
Yokoyama, Hitoshi, Domen, Takahisa, Hiragata, Shiro, Ogawa, Teruyuki, Matsumoto, Takehisa, Ishizuka, Osamu |
| المصدر: |
Asian Journal of Endoscopic Surgery; May2016, Vol. 9 Issue 2, p146-148, 3p |
| مصطلحات موضوعية: |
C-reactive protein, MYCOPLASMA |
| مستخلص: |
A 59-year-old man developed a high fever, elevated white blood cell count, elevated C-reactive protein level, and perineal pain 5 days after robot-assisted laparoscopic radical prostatectomy. Treatment with cefmetazole was ineffective. A urine specimen was submitted for culture on postoperative day 7, and M ycoplasma hominis ( M . hominis) was detected 1 week later. Cefmetazole was therefore switched to quinolone. The clinical symptoms and laboratory data immediately showed marked improvement. M . hominis has been shown to inhabit the genitourinary tract. Although it is considered to induce urethritis, its pathogenicity in healthy male subjects has not been investigated. M . hominis is difficult to detect and is resistant to β-lactams because it lacks a cell wall. Urine culture sometimes results in false-negative results. In cases where empirical therapy for postoperative infection is ineffective, surgeons should recognize the possibility of M . hominis involvement and consider changing the antibiotic used. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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