一个病例报告显示,因Enterococcus gallinarum引起的肺发作
Min Liu1, Jixiang Liu2, Juanjuan Wu1
1Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Jianghan University, No.168 Hongkong Road, Wuhan, 430000, Hubei, China.
BMC infectious diseases
|August 1, 2024
概括
这项研究报告了第一个由Enterococcus gallinarum引起的肺炎病例,这是一种罕见的肠道病原体. 及时诊断和治疗导致免疫受损患者的良好的康复.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 微生物学 微生物学
背景情况:
- 肠杆菌 (Enterococcus gallinarum) 是一种不常见的肠道共生体和机会性病原体.
- 这种细菌引起的鼻感染通常会影响免疫力低下的人.
- 肺部感染是罕见的, empyema 是非常罕见的.
研究的目的:
- 报告了第一个被记录的因Enterococcus gallinarum引起的肺炎病例.
- 突出这一罕见的临床表现的诊断和治疗方面的考虑.
主要方法:
- 一个案例介绍的是一个81岁的男性发烧和呼吸障碍.
- 诊断成像包括胸部CT和胸部超声波,揭示了多叶流液.
- 通过腹腔液培养证实了Enterococcus gallinarum的鉴定.
主要成果:
- 患者出现了严重胸部感染的症状.
- 胸腔镜检查显示出有的液体和粘结,与empyema一致.
- 成功的治疗包括胸腔排水,尿素激酶灌注和口服线索利德的长期疗程.
结论:
- 这是第一个报告的因Enterococcus gallinarum引起的肺气病例.
- 应考虑在接受入侵疗法的免疫功能低下患者中考虑使用乳,这些患者对标准治疗没有反应.
- 早期怀疑和适当的抗微生物治疗对于有利的结果至关重要.
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