在心脏手术后的患者中,由Lactobacillus casei引起的细菌病. 一个案例报告报告
Aneta Guzek1, Paweł Filipowski2, Zbigniew Rybicki3
1Department of Laboratory Diagnostics, Section of Microbiology, Military Institute of Medicine, Warsaw, Poland.
Journal of cardiothoracic surgery
|July 12, 2023
概括
益生菌 Lactobacillus casei 在重症患者中可能引起罕见的血液感染 (细菌病). 建议在给免疫受损的个体服用益生菌时谨慎使用,特别是心脏手术后.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 乳酸菌种是人类常见的共生细菌.
- 这些细菌被广泛用作益生菌和食品工业.
- 在某些条件下,乳酸菌可以变得致病,特别是在免疫力低下的人群中.
研究的目的:
- 报告一种罕见的乳杆菌casei bacteremia的病例.
- 突出益生菌在脆弱患者中使用的潜在风险.
- 讨论乳杆菌诱导的败血症的管理.
主要方法:
- 一个63岁的患者的心脏手术和ICD电极切除后的病例报告.
- 详细描述患者为多器官衰竭进行的密集多学科治疗.
- 微生物学研究,从透析导管中鉴定出Lactobacillus casei.
主要成果:
- 患者在住院的第14天发生了败血症休克.
- 乳杆菌casei被确定为细菌病的致病原体.
- 患者在服用专门的抗微生物药物后康复,并被出院.
结论:
- 在免疫系统受损的重病患者中,益生菌的使用需要谨慎.
- 乳杆菌casei可以在易受感染的人群中引起严重感染.
- 及时的微生物诊断和向的抗微生物疗法对于管理Lactobacillus bacteremia至关重要.
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