B. Bronchiseptica empyema necessitans,一个病例报告,一个病例报告
Samantha Wray1, Nikko Rowe A Tabliago2, Richard Lueking2
1Division of Hospital Medicine, Department of Medicine, Medical University of South Carolina, 135 Rutledge Ave 8th Floor, Charleston, SC, 29425, USA. saw304@musc.edu.
BMC pulmonary medicine
|May 9, 2025
概括
本案例研究报告了第一个由 Bordetella bronchiseptica 引起的 empyema necessitans 的实例,这是一个新出现的动物性疾病. 这种情况是由于在狗训练器中反复暴露动物造成的,突出显示了一种罕见的并发症.
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
- 肺部病理学 肺部病理学
背景情况:
- 恩皮埃马必需症 (Empyema necessitans) 是一种罕见的恩皮埃马并发症,涉及到延伸到胸壁.
- 管理通常需要医疗和手术干预.
- 这项研究确定了第一个由Bordetella bronchiseptica引起的empyema necessitans病例.
研究的目的:
- 报告第一个由Bordetella bronchiseptica引起的empyema necessitans病例.
- 突出 Bordetella bronchiseptica 作为一个新兴的动物传染病原体的潜力.
- 讨论Empyema的异常呈现需要二次的动物暴露.
主要方法:
- 一名60岁的女狗教练出现了胸壁病变.
- 图像检测显示右侧瘤与胸壁.
- 诊断通过格拉姆染色和分离Bordetella bronchiseptica的培养证实了诊断,随后进行了抗生素治疗和手术干预 (克拉格特窗口).
主要成果:
- Bordetella bronchiseptica被多次从胸腔和胸壁的收集中分离出来.
- 患者表现出慢性肺收集与沟通胸壁的气体-液体收集,与empyema necessitans一致.
- 治疗包括抗生素 (莫西素) 和克拉盖特窗口手术.
结论:
- 以前被认为仅限于动物特异性的甲状腺菌 (Bordetella bronchiseptica) 是一种新兴的动物病.
- 动物暴露后由Bordetella bronchiseptica引起的empyema necessitans是一个前所未有的并发症.
- 这一案例强调了在传染病的不寻常表现中考虑动物传染病原体的重要性.
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