由Eikenella corrodens引起的败血症在以前健康的男性中:一个病例报告
Haoting Zhang1, Yongfu Xia1, Linhong Wang2
1Department of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, China.
Medicine
|March 28, 2025
概括
艾肯尼拉 (Eikenella corrodens) 可以在健康个体中引起败血症. 及时的血液培养和赛福拉-苏尔巴克坦 (SCF) 对于有效诊断和治疗艾肯尼拉冠状菌感染至关重要.
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:
- 一种常见的口腔细菌Eikenella corrodens很少在健康人群中引起疾病.
- 感染通常发生在免疫受损患者,咬伤患者或手术后患者身上.
- 早期诊断和及时治疗对于E. corrodens感染至关重要.
研究的目的:
- 在以前健康的男性中报告由Eikenella corrodens引起的败血症病例.
- 强调在无法解释的感染的差异诊断中考虑E. corrodens的重要性.
- 为突出最佳的诊断和治疗策略,以 E. corrodens 败血症.
主要方法:
- 研究了一例以前健康的男性,出现长期发烧和疲劳的病例.
- 进行了血液培养和16S rRNA基因测序以识别病原体.
- 这位患者最初接受了莫西弗洛克萨治疗,然后转换为塞福拉-苏尔巴克坦 (SCF).
主要成果:
- 从血液培养物中分离出Eikenella corrodens,证实了败血症.
- 用赛福拉-苏尔巴克坦 (SCF) 治疗导致症状在24小时内迅速消失.
- 炎症标志物在SCF治疗14天后正常化,血液培养物呈阴性.
结论:
- 应考虑Eikenella corrodens作为血病的潜在原因,即使在免疫能力强的人身上也是如此.
- 在服用抗生素之前进行血液培养对于准确诊断至关重要.
- 塞福拉-苏尔巴克坦 (SCF) 是艾肯尼拉冠状病毒感染的有效治疗选择.
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