塔内雷拉福西西亚,Fusobacterium核酸菌和可疑的动因菌导致大规模肺:一个案例报告
Courtney E Stewart1, Allison McCafferty2, Robert Sherertz1
1Department of Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.
Cureus
|December 4, 2023
概括
本案例报告详细介绍了一种由厌氧细菌引起的多微生物,包括Fusobacterium nucleatum和Tannerella forsythia. 由于有机体,诊断是具有挑战性的.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 肺部病理学 肺部病理学
背景情况:
- ,腔空间的严重感染,可以是多微生物和难以诊断.
- 厌氧细菌常常涉及到 empyema,特别是在具有特定危险因素的患者中.
- 下呼吸道感染的危险因素包括慢性酒精滥用,先前的病毒性疾病和最近的侵入性牙科手术.
研究的目的:
- 为了呈现一种由特定的无氧细菌引起的多微生物 empyema 的病例.
- 审查与无气性empyema相关的诊断困难.
- 为了突出Fusobacterium nucleatum和Tannerella forsythia在这种情况下的作用.
主要方法:
- 一个病人的病例报告,患有渐进的呼吸短促和不适.
- 通过CT扫描进行诊断成像,显示出右侧大膜溢出.
- 在参考实验室中微生物学分析腹液吸附物,包括有氧和无氧培养物.
主要成果:
- 胸腔液分析显示,大量的格拉姆阳性棒并没有以有氧方式生长.
- 无氧培养物鉴定出了Fusobacterium nucleatum和Tannerella forsythia. 这两种类型的菌株都被发现.
- 血液培养结果呈阴性,这强调了直接取液体样本的重要性.
结论:
- 多微生物可以由具有挑战性培养的无氧细菌引起.
- 由于这些生物体的挑性质,诊断延迟可能会发生.
- 迅速和适当的微生物学调查,包括无氧培养,对于有效的管理至关重要.
相关概念视频
01:30Tonsillitis I: Introduction
269
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
269
01:30Pneumonia III: Complications and Assessment
239
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
239
01:28Pulmonary Tuberculosis II
242
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
242
01:31Pulmonary Tuberculosis III
336
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
336
01:26Tonsillitis II: Management
114
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
114
01:29Pulmonary Tuberculosis I
244
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
244