Mycobacterium shimoidei空腔性肺炎:一个罕见病例报告,文献综述
Siddartha Guru1, David Ingram1
1Infectious Disease, Penn State Hershey Medical Center, Hershey, PA, USA.
概括
肺炎的罕见原因Mycobacterium shimoidei在美国的一名患者中使用两种药物治疗方案成功治疗. 这一案例突显了这种罕见的非结核性真菌菌菌感染的有效管理.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 菌 (Mycobacterium shimoidei) 是一种罕见的非结核菌 (NTM),于1975年被发现.
- 全球记录的M. shimoidei肺炎病例不到50例.
- 本报告详细介绍了在美国发现的第四起病例.
研究的目的:
- 在72岁的男性中呈现一种M. shimoidei肺炎病例.
- 审查文献,并汇编先前报告的M. shimoidei感染病例.
- 讨论M. shimoidei肺部疾病的治疗方法和结果.
主要方法:
- 一个72岁的男性患有呼吸道症状和腔腔肺病变的病例介绍.
- 通过唾液培养识别M. shimoidei.的诊断确认.
- 经验性治疗以阿齐思罗米,乙ambutol和利法布丁,因副作用而调整,随后进行文献综述.
主要成果:
- 患者出现咳,呼吸不全和体重减轻,成像显示空腔肺病变.
- 唾液培养证实了M. shimoidei的感染.
- 一种两种药物治疗方案,即乙墨醇和阿齐思罗米,导致临床改善和减少病变大小,尽管对利法布丁不耐受.
结论:
- "mycobacterium shimoidei"是一种罕见的肺部疾病的原因.
- 乙胺醇和阿齐思罗米的组合可以作为M. shimoidei肺炎的有效治疗方法.
- 进一步的病例报告和文献审查对于理解和管理这种罕见的NTM感染至关重要.
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