Moreira Silva G, Morais L, Marques L, Senra V
Serviço de Pediatria, Departamento da Infância e Adolescência, Centro Hospitalar do Porto, Porto, Portugal.
Rev Port Pneumol. 2012 Mar-Apr;18(2):96-8. doi: 10.1016/j.rppneu.2011.07.006. Epub 2011 Sep 29.
Acinetobacter is involved in a variety of infectious diseases primarily associated with healthcare. Recently there has been increasing evidence of the important role these pathogens play in community acquired infections. We report on the case of a previously healthy child, aged 28 months, admitted for fever, cough and pain on the left side of the chest, which on radiographic examination corresponded to a lower lobe necrotizing pneumonia. After detailed diagnostic work-up, community acquired Acinetobacter lwoffii pneumonia was diagnosed. The child had frequently shared respiratory equipment with elderly relatives with chronic obstructive pulmonary disease. As there were no other apparent risk factors, it could be assumed that the sharing of the equipment was the source of infection. The authors wish to draw attention to this possibility, that a necrotising community-acquired pneumonia due to Acinetobacter lwoffii can occur in a previously healthy child and to the dangers of inappropriate use and poor sterilisation of nebulisers. This case is a warning of the dangers that these bacteria may pose in the future in a community setting.
不动杆菌主要与医疗保健相关的多种传染病有关。最近，越来越多的证据表明这些病原体在社区获得性感染中发挥着重要作用。我们报告了一例28个月大的先前健康儿童的病例，该儿童因发热、咳嗽和左侧胸痛入院，经影像学检查发现为下叶坏死性肺炎。经过详细的诊断检查，诊断为社区获得性洛菲不动杆菌肺炎。该儿童经常与患有慢性阻塞性肺疾病的老年亲属共用呼吸设备。由于没有其他明显的危险因素，可以认为设备的共用是感染源。作者希望引起人们对这种可能性的关注，即洛菲不动杆菌引起的坏死性社区获得性肺炎可能发生在先前健康的儿童身上，以及雾化器使用不当和消毒不佳的危险。这个病例警示了这些细菌未来在社区环境中可能带来的危险。
