球菌 cinaedi 感染 呈现与肌痛和细胞质炎
Hitomi Shimada1,2, Risa Hirata1, Shun Yamashita1
1Department of General Medicine, Saga University Hospital, Saga, Japan.
The American journal of case reports
|October 20, 2023
概括
球菌 (Helicobacter cinaedi) 是一种罕见的细菌,即使在健康人群中也会导致发热性肌肉炎和细胞炎. 通过血液培养进行及时诊断至关重要,因为这种缓慢生长的病原体可能需要延长监测.
科学领域:
- 传染性疾病 传染性疾病
- 细菌学 细菌学是一门学科.
- 临床微生物学 临床微生物学
背景情况:
- 球菌 (Helicobacter cinaedi) 是一种罕见的细菌,在阳性血液培养物中占0.2%.
- H. cinaedi 感染通常与潜在疾病有关.
- 诊断依赖于血液培养,但生长缓慢可能导致错过诊断.
研究的目的:
- 报告一种由H. cinaedi bacteremia引起的发热性肌肉炎和细胞炎病例.
- 要强调的是,H. cinaedi感染可以发生在看似健康的患者身上.
- 为了强调长期监测血培,怀疑细菌血症的重要性.
主要方法:
- 一个78岁的男性患者的病例报告,呈现出红疹和疼痛.
- 临床检查,怀疑肌肉炎和细胞炎,以及初始抗生素治疗.
- 血液培养检测H. cinaedi,随后改变抗生素治疗.
主要成果:
- 在22日的血液培养中检测到H. cinaedi.
- 该患者被诊断患有由H. cinaedi bacteremia引起的发烧性肌肉炎和细胞炎.
- 随着静脉注射安皮西林,症状有所改善,没有发现潜在的免疫缺陷.
结论:
- 在健康个体中,H. cinaedi感染是可能的.
- 肌痛可以是二次性细菌性肌痛炎的症状.
- 扩展的血液培养监测是宝贵的细菌病的诊断在不明原因的肌痛或细胞炎的病例.
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