内静脉中枢导管殖民化由雪瓦内拉·普特雷法西恩斯在一个烧伤的病人
1Department of Cellular and Molecular Biology, University of Sciences and Technology Houari Boumdiene, Algiers, Algeria.
Annals of burns and fire disasters
|July 9, 2024
概括
本病例报告详细介绍了一例罕见的Shewanella putrefaciens bacteremia病例,该病例发生在90岁的患有糖尿病的烧伤患者身上. 机会性病原体导致侵入性感染,导致败血症和患者死亡,尽管有积极的治疗.
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
- 临床病例报告 临床病例报告
背景情况:
- 谢瓦尼拉 (Shewanella putrefaciens) 是一种机会性病原体.
- 很少引起人体感染,主要是免疫力低下的人群.
- 与皮肤/软组织感染和细菌病相关.
研究的目的:
- 报告一种罕见的侵袭性传染性烧伤病例,病原体是Shewanella putrefaciens bacteremia.
- 强调在老年人,糖尿病患者中治疗这种感染的挑战.
- 记录孤立病原体的抗生素耐药性概况.
主要方法:
- 一个90岁的女性烧伤患者的病例报告,患有糖尿病.
- 微生物学分析包括Gram染料,MacConkey agar和Phoenix系统用于识别.
- API 20NE用于硫化生产确认
- 抗生素敏感性测试 抗生素敏感性测试
主要成果:
- 在烧伤和血液培养物中发现了Shewanella putrefaciens.
- 隔离物对多种抗生素具有耐药性,包括 gentamicin,amicin和ceftazidime.
- 患者出现了败血症和功能衰竭,最终因感染而死亡.
结论:
- 菌可以引起严重的侵入性感染,即使在非海洋暴露环境中也是如此.
- 多种药物耐药性带来了重大的治疗挑战.
- 及时识别和敏感性测试对于管理罕见的机会性感染至关重要.
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