BACKGROUND Edwardsiella tarda(E.tarda)belongs to the family Enterobacteriaceae and is generally seen to cause infections mainly in fish,but is also capable of infecting humans.Extraintestinal infections occur in patie...BACKGROUND Edwardsiella tarda(E.tarda)belongs to the family Enterobacteriaceae and is generally seen to cause infections mainly in fish,but is also capable of infecting humans.Extraintestinal infections occur in patients with certain risk factors,including immunocompromised status.We recently diagnosed a case of spontaneous bacterial peritonitis(SBP)due to E.tarda in an immuno-compromised dialysis patient.CASE SUMMARY Patient was a 55-year-old male,with a history of diabetic nephropathy being treated with hemodialysis three times a week.He was referred to our hospital due to an increased volume of ascites,and blood examination revealed increased inflammatory reaction.At our emergency department,he developed fever,disturbance of consciousness,abdominal distension,and abdomen-wide pain.In addition,a dialysis shunt was confirmed in his right forearm,and the shunt site showed no signs of inflammation.No wounds were confirmed on or in his body.A blood examination revealed increased values of white blood cells,C-reactive protein,and creatinine.Plain chest and abdominal computed tomography scanning revealed increased ascites volume.Abdominal paracentesis was performed and a Gram stain revealed Gramnegative bacillus.These findings prompted diagnosis of SBP.The patient was admitted and treated with cefmetazole,causing fever resolution and symptom improvements.Later,E.tarda was identified in ascites culture.The patient improved with decreased inflammatory response and was discharged on the 12th day of hospitalization.The antibiotic was terminated after 14 days of treatment.SBP in this case may have developed from chronic renal failure and diabetes mellitus.CONCLUSION We report the first known case of SBP due to E.tarda in an immuno-compromised dialysis patient.展开更多
目的对国内外人工智能-胃肠疾病领域研究进行可视化分析。方法计算机检索中国知网、维普网、万方数据知识服务平台、Web of Science核心合集数据库中关于人工智能-胃肠疾病的文章,检索时限为1976年1月至2024年12月。使用CiteSpace V6.3...目的对国内外人工智能-胃肠疾病领域研究进行可视化分析。方法计算机检索中国知网、维普网、万方数据知识服务平台、Web of Science核心合集数据库中关于人工智能-胃肠疾病的文章,检索时限为1976年1月至2024年12月。使用CiteSpace V6.3.R3软件对筛选文章的国家、机构和关键词等进行可视化分析。结果该领域中英文文献年度发文量整体呈上升趋势。相关研究主要集中在中国、美国和英国。中文文献发表最多的机构是上海交通大学(14篇)、上海交通大学医学院附属瑞金医院(10篇)和上海中医药大学(10篇)等;英文文献发表最多的是中国科学院(274篇)、加利福尼亚大学(251篇)和哈佛大学(230篇)等。中文文献发表最多的作者是于红刚(42篇)、吴练练(24篇);英文文献发表最多的是Summers RM(48篇)、Mori K(36篇)。中文文献中高频关键词有消化内镜、诊断、质量控制等,共形成14个聚类;英文文献高频关键词有classification、diagnosis、gastric cancer等,共形成10个聚类。结论国内相对国外起步较晚,但发展迅速,特别在中医药方面应用广泛;热点主要集中在消化内镜影像识别分析、胃肠疾病预测模型和中医临床数据标准化等;研究趋势包括多模态辅助诊疗系统、消化内镜实时动态分析和多学科交叉融合等。展开更多
文摘BACKGROUND Edwardsiella tarda(E.tarda)belongs to the family Enterobacteriaceae and is generally seen to cause infections mainly in fish,but is also capable of infecting humans.Extraintestinal infections occur in patients with certain risk factors,including immunocompromised status.We recently diagnosed a case of spontaneous bacterial peritonitis(SBP)due to E.tarda in an immuno-compromised dialysis patient.CASE SUMMARY Patient was a 55-year-old male,with a history of diabetic nephropathy being treated with hemodialysis three times a week.He was referred to our hospital due to an increased volume of ascites,and blood examination revealed increased inflammatory reaction.At our emergency department,he developed fever,disturbance of consciousness,abdominal distension,and abdomen-wide pain.In addition,a dialysis shunt was confirmed in his right forearm,and the shunt site showed no signs of inflammation.No wounds were confirmed on or in his body.A blood examination revealed increased values of white blood cells,C-reactive protein,and creatinine.Plain chest and abdominal computed tomography scanning revealed increased ascites volume.Abdominal paracentesis was performed and a Gram stain revealed Gramnegative bacillus.These findings prompted diagnosis of SBP.The patient was admitted and treated with cefmetazole,causing fever resolution and symptom improvements.Later,E.tarda was identified in ascites culture.The patient improved with decreased inflammatory response and was discharged on the 12th day of hospitalization.The antibiotic was terminated after 14 days of treatment.SBP in this case may have developed from chronic renal failure and diabetes mellitus.CONCLUSION We report the first known case of SBP due to E.tarda in an immuno-compromised dialysis patient.
