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免疫功能正常患者的尿液偶发分枝杆菌感染。

Urinary Mycobacterium szulgai infection in an immunocompetent patient.

作者信息

Lin Jiun-Nong, Lai Chung-Hsu, Chen Yen-Hsu, Huang Chun-Kai, Lin Hsiu-Fang, Eng Hock-Liew, Lin Hsi-Hsun

机构信息

Department of Infectious Diseases and Clinical Pathology, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan.

出版信息

South Med J. 2009 Sep;102(9):979-81. doi: 10.1097/SMJ.0b013e3181b16bdf.

DOI:10.1097/SMJ.0b013e3181b16bdf
PMID:19668034
Abstract

Mycobacterium szulgai is one of the nontuberculous mycobacteria (NTM) and rarely causes diseases in human beings, particularly in immunocompetent patients. Less than 1% of all cases of NTM infection are caused by M szulgai, but the incidence is continuously increasing. Although extrapulmonary infections have been reported, most M szulgai infections are associated with pulmonary diseases. However, to our knowledge, a urinary tract infection caused by M szulgai has never before been reported. Here we report an immunocompetent female who experienced a urinary tract infection caused by M szulgai and was successfully treated with 4 months of isoniazid, rifampin, and levofloxacin.

摘要

苏尔加分枝杆菌是一种非结核分枝杆菌(NTM),很少导致人类发病,尤其是免疫功能正常的患者。所有NTM感染病例中,由苏尔加分枝杆菌引起的不到1%,但其发病率在持续上升。虽然已有肺外感染的报道,但大多数苏尔加分枝杆菌感染与肺部疾病有关。然而,据我们所知,此前从未有过苏尔加分枝杆菌引起尿路感染的报道。在此,我们报告一例免疫功能正常的女性,她感染了苏尔加分枝杆菌导致尿路感染,并通过4个月的异烟肼、利福平及左氧氟沙星治疗成功治愈。

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