Blitman Netta M, Steiner Ari M, Bell Moshe D, Wilks-Gallo Lisa
Department of Radiology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
J Thorac Imaging. 2007 May;22(2):182-4. doi: 10.1097/01.rti.0000213582.21849.15.
Gemella morbillorum and Gemella haemolysans are normal oral flora that can also be pathogenic. We report 2 cases of adolescents with osteosarcoma who developed multiple pulmonary nodules associated with Gemella bacteremia. These nodules mimicked metastatic disease. To our knowledge, this manifestation of Gemella infection has not been previously reported. In the setting of malignancy, infectious pulmonary nodules must be distinguished from metastatic nodules in order to treat appropriately.
溶血孪生球菌和麻疹孪生球菌是正常口腔菌群，但也可能具有致病性。我们报告了2例骨肉瘤青少年患者，他们出现了与孪生球菌菌血症相关的多发性肺结节。这些结节类似转移性疾病。据我们所知，孪生球菌感染的这种表现此前尚未见报道。在恶性肿瘤的情况下，必须将感染性肺结节与转移性结节区分开来，以便进行适当治疗。
