由 Porphyromonas gingivalis 引起的败血症和败血性休克:一个病例报告
Meifang Lin1,2, Guang Yang3, Cong Shen2
1Department of Clinical Laboratory, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, People's Republic of China.
Journal of oral microbiology
|October 8, 2025
概括
牙周炎的常见原因是 Porphyromonas gingivalis,在患有慢性阻塞性肺病 (COPD) 的患者中可能导致败血症. 这一案例凸显了诊断方面的挑战,以及在败血症管理中考虑口腔健康的重要性.
科学领域:
- 口腔微生物学 口腔微生物学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- Porphyromonas gingivalis 是牙周炎的一个关键病原体.
- P. gingivalis与慢性阻塞性肺病 (COPD) 的进展有关.
研究的目的:
- 在COPD患者中报告由P. gingivalis引起的败血症病例.
- 强调P. gingivalis败血症的诊断挑战和临床影响.
主要方法:
- 基于临床数据和医疗记录的病例报告.
- 使用矩阵辅助激光吸附离子化飞行时间质谱法 (MALDI-TOF MS) 来识别病原体.
- 文献综述比较该病例与之前的P. gingivalis细菌病/败血症报告.
主要成果:
- 一名73岁的男性患有COPD和牙痛,呈现出败血症,进展到败血症休克.
- 血液培养物证实P. gingivalis是病原体.
- 患者通过抗微生物和抗感染治疗得到改善.
结论:
- 应考虑在口腔健康不佳,牙痛或牙周炎的败血症患者中使用P. gingivalis.
- 对于像P. gingivalis.这样的缓慢生长的病原体存在诊断挑战.
- 及时识别和治疗对于管理P. gingivalis败血症至关重要.
关键词:
马尔迪-托夫 (MALDI-TOF) 是一个国家元首.葡萄牙牙牙病 Porphyromonas gingivalis 这种虫害的无气体动物血液文化 血液文化血液感染 血液感染在社区获得的肺炎.这是一种血症.败血症的冲击是一个令人震惊的现象.更多相关视频
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