一个罕见的Leuconostoc pseudomesenteroides细菌病和耐火性败血症休克病例
Mike Ghobrial1, Mohamed Ibrahim2, Spencer G Streit1
1Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Cureus
|June 1, 2023
概括
莱可诺斯托克 (Leuconostoc pseudomesenteroides) 是一种罕见的细菌病的原因,常常被误认为是抗生素耐药的. 这一案例凸显了在抗药性感染中考虑这种病原体的重要性,即使这种感染很少发生.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 细菌学 细菌学是一门学科.
背景情况:
- 流血菌种是不常见的血液感染 (细菌病) 的原因.
- 这些细菌经常被错误地认定为Streptococcus物种.
- 在Leuconostoc中固有的抗微生物耐药性往往导致延迟或不正确的治疗.
研究的目的:
- 报告一种罕见的细菌性病例,这种病例是由Leuconostoc pseudomesenteroides引起的.
- 为了强调Leuconostoc感染的诊断挑战和临床重要性.
- 强调在抗药性细菌病例中考虑Leuconostoc的重要性.
主要方法:
- 一个29岁的男性在医院外心脏骤停.
- 鉴定Leuconostoc pseudomesenteroides作为血液感染的致病原体.
- 对临床表现和管理挑战的审查.
主要成果:
- 患者出现心脏骤停,并被诊断出患有罕见的血液感染.
- Leuconostoc pseudomesenteroides被确定为该病原体.
- 尽管最初进行了复苏,但患者的病情最终是致命的.
结论:
- 莱可诺斯托克物种,特别是L. pseudomesenteroides,是细菌病的罕见但重要的原因.
- 错误的识别和固有的耐药性导致结果不佳.
- 临床医生应考虑在患有高度耐药性细菌感染的患者中使用Leuconostoc.
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