伊丽莎白·金基亚·米里科拉 (Elizabethkingia miricola) 介质炎和细菌血症的发生
Grace Rothwell-Kelly1, Clarice Egan2, Kirsten Schaffer2
1Department of Clinical Microbiology, St. Vincent's University Hospital, Dublin, Ireland rothweg@tcd.ie.
BMJ case reports
|September 29, 2025
概括
由于抗生素耐药性,Elizabethkingia miricola 血流感染是罕见的,但具有挑战性. 这一案例凸显了联合治疗和源控制的必要性,以成功管理Elizabethkingia miricola.
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
- 关键护理医学 关键护理医学
背景情况:
- 伊丽莎白金亚物种是罕见的,机会主义的格拉姆阴性细菌.
- 伊丽莎白国王菌 (Elizabethkingia miricola) 感染很少被报告,并且由于内在抗生素耐药性,造成管理挑战.
研究的目的:
- 报告一例Elizabethkingia miricola血流感染的情况.
- 讨论由E. miricola引起的多微生物中炎的管理.
主要方法:
- 一个患有术后中炎的患者的病例介绍.
- 血液和排水液培养物识别E. miricola和其他病原体.
- 诊断成像包括CT扫描.
- 用皮佩拉西林-塔扎巴克坦和可纳治疗.
主要成果:
- 在血液培养物和从中炎病例的排水液中鉴定出了Elizabethkingia miricola.
- 该患者还患有白菌,金黄色葡萄球菌和厌氧菌.
- 用组合抗生素和源控制 (排水) 成功治疗.
结论:
- 伊丽莎白金亚菌 (Elizabethkingia miricola) 感染,特别是血液感染,需要谨慎管理.
- 埃米里科拉的内在抗生素耐药性使治疗复杂化.
- 组合抗生素治疗和源控制对于有利的结果至关重要.
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