Capnocytophaga canimorsus 内心炎 呈现与白细胞结合性血管炎和淋巴细胞炎
Divya Chandramohan1, Nilam J Soni2,3, Moyosore Awobajo-Otesanya4
1Division of Infectious Diseases, Department of Medicine, University of Texas Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Microorganisms
|October 26, 2024
概括
一个罕见的Capnocytophaga canimorsus感染导致严重的内心炎,血球炎和血管炎患者. 尽管接受了治疗,但感染进展,导致致命的并发症,包括胃肠道出血.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 狗/猫唾液中的克拉姆阴性细菌Capnocytophaga canimorsus很少引起严重的感染.
- 严重的C. canimorsus感染通常发生在免疫功能低下的个体或那些有酒精使用障碍的人身上,阿斯普莱尼亚.
研究的目的:
- 报告一种罕见的Capnocytophaga canimorsus病例,导致传染性内心炎,血球炎和白细胞结合性血管炎.
- 突出诊断挑战和与C. canimorsus感染相关的严重并发症.
主要方法:
- 一个患有紫色皮疹,和功能衰竭的病人的病例报告.
- 诊断工作包括血液检测,成像和16S核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核酸核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核糖核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核核
- 治疗包括cefepime,三门置换和并发症的管理.
主要成果:
- 由于C. canimorsus的感染,该患者患有三管内心炎和感染相关的血球炎.
- 尽管初始治疗和门置换,该患者心脏功能恶化,肺栓塞和反复的胃肠道出血.
- 16S rRNA测序证实了C. canimorsus在切除的门中.
结论:
- Capnocytophaga canimorsus可以引起严重的,危及生命的传染性内心炎,并具有不寻常的表现,如血管炎和血球炎.
- 及时诊断和积极管理至关重要,但即使有治疗,结果也可能很差,特别是在严重的病例中.
- 这一案例强调了在有相关暴露史和严重系统性疾病的患者中考虑C. canimorsus的重要性.
关键词:
卡普诺基托法加 (Capnocytophaga) 是一种细胞体.狗狗咬了一口咬了一口.心内膜炎是一种心内膜炎.球体隆基尼弗里斯 (glomerulonephritis) 是一种发生在人体中的疾病.三管门的三管门血管炎是一种血管炎.更多相关视频
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