在南印度的一个第三级护理中心的肠外沙门氏菌病
Vithiya Ganesan1, Shyamala Ravikoti2, Raja Sundaramurthy2
1Department of Microbiology, Velammal Medical College Hospital and Research Institute (VMCH&RI), Madurai, Tamilnadu, India.
Iranian journal of microbiology
|April 29, 2024
概括
肠外沙门氏病是一种严重的感染,在印度经常被忽视,需要高度的临床怀疑. 这一案例系列强调了其多样化的表现和深层的治疗方法.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 临床医学 临床医学
背景情况:
- 肠外沙门氏菌病是一个重大的公共卫生挑战,特别是在印度等发展中国家,由于其高死亡率.
- 这种情况经常被低估,导致诊断和治疗延迟.
研究的目的:
- 介绍一系列细菌学确认的肠外沙门氏菌病例,经过两年时间的管理.
- 分析这些感染的临床特征,易感因素和抗菌素敏感性模式.
主要方法:
- 对2020年1月至2021年12月期间被诊断患有肠外沙门氏菌病的患者进行了医疗记录的回顾性分析.
- 收集的数据包括感染部位,潜在疾病和抗菌素敏感性报告.
主要成果:
- 确定了8例肠外沙门氏菌病例,男性和女性的比例为3:1,平均年龄为44岁.
- 感染涉及各种肠外部位,包括从阴囊,阴,围区域,腹膜内收集,突和尿液的性吸附物. 他们注意到了诸如慢性髓性白血病,艾滋病毒和胃恶性瘤等诱导因素.
- 所有伤寒型沙门氏菌分离物 (n=4) 都对,安培和 ceftriaxone 敏感. 非类型型的沙门氏菌表现出不同的耐药性模式,其中一些菌株耐科特里莫克萨,安西林, ceftriaxone 和 ciprofloxacin.
结论:
- 应强烈考虑肠外沙门氏菌病在患有深部的患者的差异诊断.
- 高度的临床怀疑对于及时有效地管理这种严重疾病至关重要.
相关概念视频
01:21Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
01:25Endocarditis I: Introduction
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
01:30Reservoir of Infection
Infectious diseases arise from intricate interactions between pathogens and their reservoirs. A reservoir of infection refers to the natural habitat where a pathogen lives, grows, and multiplies, serving as a continual source of infection. Reservoirs are broadly classified as either living or nonliving, and each plays a unique role in disease transmission, significantly influencing public health interventions and control strategies.Humans act as reservoirs for a wide array of pathogens,...
01:18Bacterial Gastroenteritis
Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
01:28Amebiasis
Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...