Meneses A, Epaulard O, Maurin M, Gressin R, Pavese P, Brion J-P, Garin-Bastuji B, Stahl J-P
Service de maladies infectieuses et médecine tropicale, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
Med Mal Infect. 2010 Apr;40(4):238-40. doi: 10.1016/j.medmal.2009.08.005. Epub 2009 Sep 26.
After primary infection, some bacteria can remain in a latent state for several years before a new bacteremia, often due to a weakened immune status. This is common for Mycobacterium tuberculosis, less for other pathogens more difficult to have in mind when facing patients with fever. We report the case of an 84-year-old female patient presenting with fever in the months following antilymphoma chemotherapy, due to bacteremic brucellosis (with a hemophagocytic syndrome) probably latent after primary infection as a child.
初次感染后，一些细菌可能会潜伏数年，然后引发新的菌血症，这通常是由于免疫状态减弱所致。这在结核分枝杆菌中很常见，而在面对发热患者时，其他病原体引发这种情况则较少见。我们报告了一例84岁女性患者的病例，该患者在接受抗淋巴瘤化疗后的数月内出现发热，病因是菌血症性布鲁氏菌病（伴有噬血细胞综合征），可能是在儿童时期初次感染后潜伏至今。
