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[1例脑梗死患者多粘芽孢杆菌血症病例]

[A case of Paenibacillus polymyxa bacteremia in a patient with cerebral infarction].

作者信息

Nasu Yoshiyuki, Nosaka Yoshitomo, Otsuka Yoshihito, Tsuruga Toshihiko, Nakajima Michiko, Watanabe Yasuhiro, Jin Masahiko

机构信息

Department of Clinical Laboratory, Noheji-municipal Hospital.

出版信息

Kansenshogaku Zasshi. 2003 Oct;77(10):844-8. doi: 10.11150/kansenshogakuzasshi1970.77.844.

Abstract

We report a case of Paenibacillus polymyxa bacteremia in a patient with cerebral infarction. The patient was a 93-year-old female who was admitted to our hospital. On the 4 day after admitted, she had a fever 38.2 degrees C. The result of the blood culture showed a gram positive spore bacillus in the blood culture bottle. As a result of performing 16SrDNA sequence analysis (500bp), it was a close relationship most by 99.26% P. polymlxa of coincidence was found. With a result using api 20E and api 50CH, this bacillus turned out to be P. polymyxa. The patient had a habit of weeding around her house daily. So we had to take her habit into consideration. We thought she could to get her hands injured. We assumed probably her habit might put her into high risk state of infection of this bacillus. We have supposed this bacillus might be infected with her through her blood.

摘要

我们报告了一例脑梗死患者发生多粘芽孢杆菌菌血症的病例。该患者为一名93岁女性,入住我院。入院后第4天,她体温发热至38.2摄氏度。血培养结果显示血培养瓶中有革兰氏阳性芽孢杆菌。通过进行16SrDNA序列分析(500bp),发现其与多粘芽孢杆菌的亲缘关系最为密切,相似度达99.26%。使用api 20E和api 50CH进行检测,结果表明该杆菌为多粘芽孢杆菌。患者有每天在房屋周围除草的习惯。因此我们必须考虑她的这一习惯。我们认为她可能手部受伤。我们推测可能她的这一习惯使她处于感染这种杆菌的高风险状态。我们推测这种杆菌可能通过她的血液感染了她。

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