由Streptococcus agalactiae引起的压倒性的脊髓切除术后感染,序列类型为10的囊血清型Ib封装ST10/1b发生在脊髓切除术后30年:一个病例报告
Kento Furuya1, Nobumasa Okumura1, Yu Kaku2
1Department of Infectious Diseases, Graduate School of Medical Sciences, Nagoya City University, Aichi, Japan; Department of Infectious Diseases, Nagoya City University East Medical Center, Aichi, Japan.
概括
压倒性的脊髓切除术后感染 (OPSI) 可能是致命的,甚至在脊髓切除几十年后. 这一案例突出了Streptococcus agalactiae (GBS) 作为一种罕见但严重的OPSI的原因.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 临床医学 临床医学
背景情况:
- 压倒性的脊髓切除术后感染 (OPSI) 是一个危及生命的病症.
- 封装细菌是常见的OPSI病原体,但Streptococcus agalactiae (GBS) 是一个罕见的原因.
- 患有asplenia的患者面临着终身严重感染的风险.
研究的目的:
- 报告一种罕见的与GBS相关的OPSI病例.
- 从OPSI病例中分离出GBS的遗传特征.
- 强调阿斯普莱尼克个体中OPSI的持续风险.
主要方法:
- 一个72岁的男性脊髓切除术后患者的病例报告.
- 在血液培养物中识别S. agalactiae.
- 全基因组测序的GBS分离.
主要成果:
- 该患者在脊髓切除术30年后发生了败血症休克.
- 鉴定出GBS分离物为序列类型10,囊血清型Ib.
- 由于迅速治疗和支持性护理,患者康复了.
结论:
- GBS可以引起爆发性OPSI,呈现系统性疾病和疼痛.
- 这是第一个与GBS相关的OPSI的遗传特征报告.
- 由于持续的感染风险,终身警和管理对阿斯普莱尼患者至关重要.
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