一个移植后感染的诺卡迪亚cyriacigeorgica
Nageswari Gandham1, Sriram Kannuri1, Aryan Gupta1
1Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth University, Pune, Maharashtra, India.
Access microbiology
|December 11, 2023
概括
诺卡迪亚cyriacigeorgica是一种罕见的细菌菌株,在移植接受者中引起肺性诺卡迪病. 早期诊断对于有效治疗这种经常被诊断不足的机会性感染至关重要.
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
- 免疫性受损的主体
背景情况:
- 诺卡迪亚是Gram阳性,酸性,纤维状细菌,已知会引起机会性感染.
- 这些感染主要影响免疫系统受损的个体,包括移植接受者.
- 肺性心脏病是敏感人群的一个重大问题.
研究的目的:
- 报告一种罕见的移植后肺性心脏病,由心脏病cyriacigeorgica引起.
- 突出与移植患者的诺卡迪亚感染相关的诊断挑战.
- 强调在这个患者群体的差异诊断中考虑无心脏病的重要性.
主要方法:
- 病例报告详细介绍了一个移植后患者的肺部症状.
- 致病原体的鉴定为诺卡迪亚cyriacigeorgica.
- 讨论诊断过程和遇到的挑战.
主要成果:
- 成功确定诺卡迪亚cyriacigeorgica作为肺部感染的原因.
- 证明了实现及时和最终诊断的困难.
- 确认无心脏病是移植受者的潜在并发症.
结论:
- 无心脏病,特别是来自像Nocardia cyriacigeorgica这样的罕见菌株,在移植接受者中构成了诊断挑战.
- 保持高的怀疑无心病指数对于及时诊断和管理至关重要.
- 这一案例凸显了免疫受损个体内心脏病的低诊断和报告不足.
相关概念视频
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Endocarditis IV: Nursing Management
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Cytomegalovirus Disease
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...


