感染性内心炎和感染性关节炎是由Corynebacteriumstriatum引起的
Daichi Umemoto1, Shigeo Hara2, Hiroaki Nishioka1
1Department of General Internal Medicine, Kobe City Medical Center General Hospital, Kobe, Hyogo, 650-0047, Japan.
概括
皮质细菌 (Corynebacterium striatum) 通常会导致医院感染,可能导致罕见的原生膜内心炎和败血性关节炎. 这一案例凸显了这种细菌可能引起的严重,不常见的感染.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
背景情况:
- 皮质细菌 (Corynebacterium striatum) 是一种机会性病原体.
- 它通常会导致诸如肺炎和导管相关的血液感染等医院感染.
- 传染性内心炎和败血性关节炎是C.striatum感染的罕见表现.
研究的目的:
- 报告一种罕见的原生膜内心炎和由Corynebacterium striatum引起的败血性关节炎病例.
- 强调C.striatum在本地结构中可能导致严重的侵入性感染.
主要方法:
- 一个85岁的老妇人的案例介绍.
- 诊断方法包括血液培养,食管横断心声学和关节液分析.
- 抗微生物敏感性测试指导治疗.
主要成果:
- 在血液和关节液培养物中,Corynebacterium striatum被确定为致病原体.
- 这位患者出现了原生膜内心炎和原生肩膀败血性关节炎.
- 尽管初始治疗,患者经历并发症和死亡.
结论:
- 皮质细菌 (Corynebacterium striatum) 可以导致严重的本地膜内心炎.
- 原生关节败血性关节炎是一种不常见的,但可能的C.条纹体感染的并发症.
- 这一案例强调了在严重感染中考虑C.striatum的重要性,即使没有典型的风险因素.
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