由Pasteurella multocida感染引起的内腔的支气管镜可视化
Kazutoshi Toriyama1,2, Reimi Mizushima1,2, Takashi Okuma1,2
1Department of Respiratory Medicine, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuou, Ami, Inashiki, Ibaraki, 300-0395, Japan.
Heliyon
|August 10, 2023
概括
一名69岁的男子因帕斯图雷拉多杆菌感染而患上肺腔,可能是因为接触过猫. 这强调了在诊断肺部感染时考虑与动物接触的重要性,特别是在慢性肺病患者中.
科学领域:
- 医学微生物学 医学微生物学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 肺腔可以由各种传染性和非传染性原因引起.
- 帕斯托雷拉多种菌 (Pasteurella multocida) 是一种常见于动物中的细菌,具有动物性传染风险.
研究的目的:
- 报告肺腔形成的病例是由于帕斯图雷拉多种菌感染的次要病例.
- 强调在患有肺空洞的患者中考虑动物暴露的重要性.
主要方法:
- 一个69岁的男性患有咳和唾液的病例报告.
- 胸部计算机断层扫描 (CT) 扫描用于成像肺部异常.
- 唾液培养用于微生物识别.
- 支气管镜评估用于现场洞穴可视化.
主要成果:
- 胸部CT显示了多个巩固与空洞在两个肺部.
- 从液中分离出了Pasteurella multocida. 这种菌株是从液中分离出来的.
- 支气管镜检查显示,肺腔内有类似蜘蛛网的结构.
- 确立了因帕斯图雷拉多种菌感染而导致的肺腔二次性诊断.
结论:
- 在对肺腔的差异诊断中,应考虑Pasteurella multocida感染,特别是在患有慢性肺病的个体中.
- 彻底的动物暴露史对于诊断巴氏菌相关的肺部疾病至关重要.
- 这一案例强调了Pasteurella multocida在引起肺病理方面的动物感染潜力.
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