Fungal infection in severe acute pancreatitis (a report of 40 cases)
- VernacularTitle:重症急性胰腺炎合并深部真菌感染(附40例报告)
- Author:
Yueming HE
;
Xinsheng LU
;
Jianhua HUANG
;
Zhongli AI
;
Zhisu LIU
;
Daoxiong LEI
;
Qun QIAN
;
Quan SUN
;
Boyong WANG
;
Congqing JIANG
;
Yufon YUAN
- Publication Type:Journal Article
- Keywords:
PANCREATITIS/compl;
FUNGAL INFECTION/compl;
ACUTE DISEASE;
COMPARATIVE STUDY
- From:
Chinese Journal of General Surgery
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristic and correlation factors of fungal infection in severe acute pancreatitis(SAP). Methods Clinical data of SAP patients with fungal infection (fungus infection group-F1 group) and with bacterial infection (bacteria infection group, B1 group) in January,1994-December,2001 were retrospective analysed and compared. Results There were 40 cases in F1 group, 84 cases in B1 group. There were no significant difference in age, sexual, causes, APACHE II score between the two groups, Hospitalization in F1 was significantly longer than that in B1 group (57.7d∶42.7d, P= 0.044 ).Diabetes-mellitus, SAP grade II, multi-operation, intestinal and/or bile duct fistulas were related to fungal infection in SAP; mortality in F1 group was significantly higher than that in B1 group (P= 0.02 ). Conclusions Diabetes-mellitus, SAP grade II, multi-operation, intestine and/or bile duct fistulas are the risk factors of patients with severe acute pancreatitis developing fungal infection; fungus infection can increase the mortalily of SAP patients.Extra-pancreas fungal infection is commonly seen in digestive tract, respiratory tract and urinary system. unknown consciousness change and massive bleeding may indicate that the patient is complicated with fungal infection.
