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一名长期血液透析患者发生脑膜败血金黄杆菌感染及心脏压塞

Chryseobacterium meningosepticum infection and cardiac tamponade in a long-term hemodialysis patient.

作者信息

Lothuvachai Thitima, Likittanasombat Khanchit, Milindankura Samaniya, Sakulsaengprapha Amporn, Kitiyakara Chagriya

机构信息

Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Am J Kidney Dis. 2006 Oct;48(4):e49-53. doi: 10.1053/j.ajkd.2006.07.010.

Abstract

Chryseobacterium meningosepticum is a lactose-nonfermenting gram-negative bacilli ubiquitously found in the natural and hospital environment. Clinical infection caused by C. meningosepticum is very rare among healthy adults. We present the case of a patient with end-stage renal disease who developed purulent pericarditis with C. meningosepticum infection, which rapidly evolved into cardiac tamponade and death. To our knowledge, this is the first case in which C. meningosepticum caused fatal purulent pericarditis in a hemodialysis patient.

摘要

脑膜败血金黄杆菌是一种乳糖不发酵革兰氏阴性杆菌,广泛存在于自然环境和医院环境中。在健康成年人中,由脑膜败血金黄杆菌引起的临床感染非常罕见。我们报告一例终末期肾病患者,该患者发生了由脑膜败血金黄杆菌感染引起的化脓性心包炎,并迅速发展为心脏压塞和死亡。据我们所知,这是首例脑膜败血金黄杆菌导致血液透析患者发生致命性化脓性心包炎的病例。

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