概括
尽管接受化疗,肺结核患者的持续发烧可能表明并发性败血症. 在这些情况下,血液培养对于识别细菌感染至关重要,即使没有白细胞病.
科学领域:
- 传染性疾病 传染性疾病
- 肺部医学 肺部医学
- 微生物学 微生物学
背景情况:
- 肺结核 (TB) 管理通常涉及化疗.
- 发烧是活跃结核病的一个常见症状.
- 化疗旨在缓解症状,包括发烧.
研究的目的:
- 在接受化疗的肺结核患者中调查持续发烧的原因.
- 为了确定这种患者群体中同时发生的败血症的流行率和类型.
- 评估热性结核病患者血液培养的诊断价值,这些患者对治疗没有反应.
主要方法:
- 对10名细菌学证实肺结核和持续发烧的患者进行了回顾性分析.
- 对血液培养结果进行细菌鉴定 (格拉姆阳性和格拉姆阴性) 的审查.
- 血液培养结果与唾液和尿液培养的相关性,以及白细胞病症和超级感染的放射性迹象的评估.
主要成果:
- 在所有10名患者中,发烧在化疗后保持不变.
- 所有十名患者的血液培养均呈阳性:六名具有格拉姆阳性和四名具有格拉姆阴性生物体.
- 在六名患者的唾液和血液中发现了一致的生物,在两名患者的尿液和血液中发现了一致的生物.
- 没有白细胞瘤和超级感染的X光证据.
结论:
- 在接受化疗治疗的肺结核患者中持续发烧,需要对并发性败血症进行调查.
- 血培养对于诊断发烧性结核病患者同时发生的血流感染至关重要,无论白细胞症.
- 早期发现败血症对于适当的治疗和改善复杂结核病病例患者的治疗结果至关重要.
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