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[由产色素和不产色素的紫色色杆菌引起的败血症]

[Sepsis caused by pigmented and no pigmented Chromobacterium violaceum].

作者信息

Guevara Armando, Salomón Marlly, Oliveros María, Guevara Esmirna, Guevara Milarys, Medina Laida

机构信息

Departamento de Parasitología y Microbiología, Escuela de Ciencias de la Salud, Núcleo Bolívar, Universidad de Oriente, Bolívar, Bolívar, Venezuela.

出版信息

Rev Chilena Infectol. 2007 Oct;24(5):402-6. doi: 10.4067/s0716-10182007000500010. Epub 2007 Oct 26.

Abstract

Chromobacterium violaceum sepsis is rare but associated with a high mortality rate. We report a fatal case of C. violaceum sepsis in a 6 years old Venezuelan indian boy. Clinical manifestations were fever and swelling in the right inguinal region. The initial diagnosis was an appendicular plastron. Appendicectomy was performed and during surgery a right psoas abscess was identified that resulted culture positive for pigmented C. violaceum. Blood cultures were positive for a pigmented and non pigmented C. violaceum strain. Imipenem and amikacin were administered despite of which the child died 9 days after hospital admission.

摘要

紫色色杆菌败血症较为罕见,但死亡率很高。我们报告了一名6岁委内瑞拉印第安男孩患紫色色杆菌败血症的致命病例。临床表现为发热和右腹股沟区肿胀。初步诊断为阑尾炎性包块。进行了阑尾切除术,术中发现右侧腰大肌脓肿,培养结果显示为产色素的紫色色杆菌阳性。血培养结果显示产色素和不产色素的紫色色杆菌菌株均为阳性。尽管使用了亚胺培南和阿米卡星,患儿入院9天后仍死亡。

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