甲素耐药黄金葡萄球菌引起的empyema necessitans:一个病例报告和文献综述
Tomoaki Nakamura1, Kazuhiro Ishikawa2, Naoki Murata3
1Department of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Tokyo, Japan. tonaka@luke.ac.jp.
BMC infectious diseases
|February 2, 2024
概括
甲素耐药黄金葡萄球菌 (MRSA) 引起的empyema necessitans (EN) 是罕见但严重的. 及时诊断和治疗,包括排水和抗生素,对于这些具有挑战性的病例的良好预后至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 医疗病例报告 病例报告
背景情况:
- 乳 (Empyema necessitans) 是一种罕见的疾病,涉及到到软组织扩散的肺部感染.
- 虽然通常是由Mycobacterium tuberculosis或Actinomyces israelii引起的,但MRSA是一种罕见的,但在EN中具有高死亡率的病原体.
- 本研究报告了MRSA诱导的EN的独特病例,并审查了现有的文献.
研究的目的:
- 报告一种罕见的由MRSA引起的EN病例.
- 审查有关MRSA相关的现有文献.
- 提高对这种罕见疾病及其管理的理解.
主要方法:
- 一个69岁的男性患有MRSA的病例报告.
- 对14例与MRSA相关的人类病例的文献综述.
- 对临床表现,治疗和结果的分析.
主要成果:
- 在血液和肺部液体中发现MRSA;患者患有脊椎骨质炎.
- 文献审查发现了14例病例;40%的血液培养结果呈阳性,30%的转移性感染.
- 骨髓炎是最常见的转移性病变;所有患者都接受了排水.
结论:
- 由MRSA诱导的EN很少见,并且经常呈现出扩散性病变,需要彻底检查.
- 有效的管理需要适当的抗生素治疗和手术排水.
- 虽然预后可能是有利的,但转移性感染的出版偏见和治疗复杂性需要考虑.
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