ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME
Now purulent cholangitis has acquired the status of an independent problem on which solution further progress of surgery of a gepatobiliopancreatoduodenal zone depends. Substantially it is caused by increase in number of patients with the complicated cholelithiasis form, especially at elderly people...
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| Format: | Article |
| Language: | Russian |
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SINAPS LLC
2016-08-01
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| Series: | Архивъ внутренней медицины |
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| Online Access: | https://www.medarhive.ru/jour/article/view/556 |
| _version_ | 1797883775241158656 |
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| author | I. G. Malakhova A. E. Shklyaev I. Y. Utkin |
| author_facet | I. G. Malakhova A. E. Shklyaev I. Y. Utkin |
| author_sort | I. G. Malakhova |
| collection | DOAJ |
| description | Now purulent cholangitis has acquired the status of an independent problem on which solution further progress of surgery of a gepatobiliopancreatoduodenal zone depends. Substantially it is caused by increase in number of patients with the complicated cholelithiasis form, especially at elderly people with immunodeficiency and accompanies pathology, tendency to development of a purulent сholangitis and biliary sepsis. The clinical case of the acute purulent cholangitis caused by Klebsiella pneumoniae in the elderly man, and which was complicated by biliary sepsis is presented in article. The surgical decompression of bilious ways in combination with drug therapy (cephalosporin ΙΙΙ generations) was ineffective. The microbiological blood test has helped to specify the activator of septic process, to appoint effective antibacterial therapy that has defined a favorable outcome of a disease at the patient. |
| first_indexed | 2024-04-10T03:57:10Z |
| format | Article |
| id | doaj.art-5ea71ae57eff4654aa185f6ad971d0ce |
| institution | Directory Open Access Journal |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| last_indexed | 2024-04-10T03:57:10Z |
| publishDate | 2016-08-01 |
| publisher | SINAPS LLC |
| record_format | Article |
| series | Архивъ внутренней медицины |
| spelling | doaj.art-5ea71ae57eff4654aa185f6ad971d0ce2023-03-13T07:12:07ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642016-08-0164656910.20514/2226-6704-2016-6-4-65-69538ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOMEI. G. Malakhova0A. E. Shklyaev1I. Y. Utkin2ГБОУ ВПО «Ижевская государственная медицинская академия Минздрава России», кафедра факультетской терапии с курсами эндокринологии и гематологии, г. Ижевск, РоссияГБОУ ВПО «Ижевская государственная медицинская академия Минздрава России», кафедра факультетской терапии с курсами эндокринологии и гематологии, г. Ижевск, РоссияГБОУ ВПО «Ижевская государственная медицинская академия Минздрава России», кафедра факультетской терапии с курсами эндокринологии и гематологии, г. Ижевск, РоссияNow purulent cholangitis has acquired the status of an independent problem on which solution further progress of surgery of a gepatobiliopancreatoduodenal zone depends. Substantially it is caused by increase in number of patients with the complicated cholelithiasis form, especially at elderly people with immunodeficiency and accompanies pathology, tendency to development of a purulent сholangitis and biliary sepsis. The clinical case of the acute purulent cholangitis caused by Klebsiella pneumoniae in the elderly man, and which was complicated by biliary sepsis is presented in article. The surgical decompression of bilious ways in combination with drug therapy (cephalosporin ΙΙΙ generations) was ineffective. The microbiological blood test has helped to specify the activator of septic process, to appoint effective antibacterial therapy that has defined a favorable outcome of a disease at the patient.https://www.medarhive.ru/jour/article/view/556острый холангитбилиарный сепсисжелчнокаменная болезнь |
| spellingShingle | I. G. Malakhova A. E. Shklyaev I. Y. Utkin ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME Архивъ внутренней медицины острый холангит билиарный сепсис желчнокаменная болезнь |
| title | ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME |
| title_full | ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME |
| title_fullStr | ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME |
| title_full_unstemmed | ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME |
| title_short | ACUTE CHOLANGITIS, COMPLICATED BY BILIARY SEPSIS: CLINICAL CASE WITH A FAVORABLE OUTCOME |
| title_sort | acute cholangitis complicated by biliary sepsis clinical case with a favorable outcome |
| topic | острый холангит билиарный сепсис желчнокаменная болезнь |
| url | https://www.medarhive.ru/jour/article/view/556 |
| work_keys_str_mv | AT igmalakhova acutecholangitiscomplicatedbybiliarysepsisclinicalcasewithafavorableoutcome AT aeshklyaev acutecholangitiscomplicatedbybiliarysepsisclinicalcasewithafavorableoutcome AT iyutkin acutecholangitiscomplicatedbybiliarysepsisclinicalcasewithafavorableoutcome |