在健康个体中由Fusobacterium necrophorum感染引起的双边肺
Taro Kufukihara1,2, Rena Tamenaga1,2, Reimi Mizushima1,2
1Department of Respiratory Medicine, Tokyo Medical University Ibaraki Medical Center, Ibaraki, Japan.
IDCases
|November 5, 2024
概括
Fusobacterium necrophorum在一个健康的男性中引起双边,在没有勒米埃尔综合征的情况下呈现异常症状. 迅速的手术干预和抗生素对恢复至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 微生物学 微生物学
背景情况:
- 福索细菌 (Fusobacterium necrophorum) 是一种无氧的,具有负克拉姆的细菌.
- 它通常会导致莱米埃氏综合征,包括喉突炎,性血栓炎和肺.
研究的目的:
- 报告一例由F. necrophorum引起的双边肺膜肺.
- 为了突出非典型的呈现而没有勒米埃氏综合征或细菌血症.
主要方法:
- 一位以前健康的51岁男子出现了多发性胸痛.
- 诊断成像 (胸部X光学,CT) 显示了双边支气管肺炎和多发性溢液.
- 从多液中分离出F. necrophorum;血液培养结果呈阴性.
主要成果:
- 尽管患者初步接受了抗生素治疗,但她却出现了双侧膜溢出.
- 进行了手术干预 (胸腔镜皮层切除,除,洗).
- 手术后患者的病情有所改善,并没有再次发生出血.
结论:
- F. necrophorum可以引起严重的肺部感染,如双边,而没有典型的莱米埃尔综合征症状.
- 有效的管理需要胸腔排水,适当的抗生素和手术的结合.
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