Hu Rong, Li Jia, Yao Kun, Miao Miao, Zhu Ke, Liu Zhuogang
Department of Hematology, Shengjing Hospital, China Medical University, Shenyang,China.
Am J Case Rep. 2013 Jul 1;14:226-9. doi: 10.12659/AJCR.889168. Print 2013.
Female, 58 FINAL DIAGNOSIS: Listeria septicemia Symptoms: Nausea • vomitting • high fever • apathetic intelligence • repeated convulsion
Levofloxacin Clinical Procedure: - Specialty: Hematology Objective: Rare disease.
Multiple myeloma is a hematological malignancy that frequently causes secondary diabetes due to chemotherapy using hormones and infection due to immunosuppression.
The patient was a 58-year-old woman with multiple myeloma and secondary diabetes complicated by listeria septicemia accompanied by central nervous system involvement. She initially received moxalactam and etimicin sulfate, but blood cultures detected Listeria monocytogenes. Levofloxacin was administered, but the symptoms did not improve. The patient ultimately died.
Listeria septicemia accompanied by central nervous system involvement in a patient with multiple myeloma and secondary diabetes is a relatively rare disease. Prevention, timely diagnosis, and treatment are the key steps for improvement. Blood glucose level control is another important factor that should be considered in the prevention and treatment for Listeria monocytogenes infection.
女性，58岁 最终诊断：李斯特菌败血症 症状：恶心、呕吐、高热、智力迟钝、反复惊厥
左氧氟沙星 临床程序：- 专业：血液学 目的：罕见疾病。
多发性骨髓瘤是一种血液系统恶性肿瘤，常因使用激素化疗导致继发性糖尿病，并因免疫抑制引发感染。
该患者为一名58岁女性，患有多发性骨髓瘤和继发性糖尿病，并发李斯特菌败血症并累及中枢神经系统。她最初接受了头孢氧哌唑和硫酸依替米星治疗，但血培养检测出单核细胞增生李斯特菌。给予左氧氟沙星治疗，但症状未改善。患者最终死亡。
多发性骨髓瘤和继发性糖尿病患者并发累及中枢神经系统的李斯特菌败血症是一种相对罕见的疾病。预防、及时诊断和治疗是改善病情的关键步骤。血糖水平控制是预防和治疗单核细胞增生李斯特菌感染时应考虑的另一个重要因素。
