マクロリドとフルオロキノロンに耐性のあるカンピロバクター・コリ・エンピエマ:症例報告と文献レビュー

Kaori Nagao¹, Masafumi Shimoda¹, Masashi Ito^1,2

¹Respiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association (JATA), Kiyose City, Japan.

Internal medicine (Tokyo, Japan)

|September 3, 2025

まとめ

この症例報告は,一般的な抗生物質に耐性のあるカンピロバクター・コライによって引き起こされる希少なエンピエマの詳細です. 迅速な診断とメロペネムによる治療と手術により患者は回復しました

科学分野:

感染症
肺科
微生物学

背景:

胸腔の空間に生が含まれる深刻な状態です.
カンピロバクテルの種は, empyemaの珍しい原因です.
病原菌の抗生物質耐性は世界的に懸念される問題となっています

研究の目的:

マクロリドおよびフッ素キノロンに耐性のあるカンピロバクター・コライによるエンピエマの最初の症例を報告する.
多剤耐性細菌感染症の治療における課題を強調する.

主な方法:

58歳の男性持続的な肺炎の症例報告
カンピロバクター・コライの Pleural fluid の検出
マクロライドとフルオロキノロンに対する耐性を示す抗菌感受性試験
メロペネムによる治療と胸膜除去手術

主要な成果:

アンピシリン・スルバクタムと胸管の排水による初期治療は効果的ではなかった.
マクロリドおよびフッ素ヒノロンに耐性のあるカンピロバクター・コライが特定されました.
メロペネムと手術による脱血は臨床回復をもたらした.

結論:

多剤耐性カンピロバクター・コライによるエンピエマの報告は初めてです.
カンピロバクター・コライは,耐火性エンピエマの差異診断に考慮されるべきである.
効果的な治療には適切な抗生物質の選択と潜在的な手術が必要です

キーワード:

カンピロバクター・コライエンピエマフルオロキノロンマクロリドメロペネム外科的な胸腔除け

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