An Dong-shan, Wang Shu-qi
Department of Respiratory Medicine,Jilin Provincial Hospital, Changchun 130021, China. Email:
Department of Respiratory Medicine,Jilin Provincial Hospital, Changchun 130021, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2013 Dec;36(12):959-62.
To study the diagnosis and treatment of Corynebacterium aquaticum infection.
A retrospective analysis of one case of Corynebacterium aquaticum infection and literature review were conducted.
A 39-year old male patient was admitted because of cough, sputum production, fever and right chest pain for 10 days. Broad-spectrum antibiotic therapy had been given in another hospital, but the patient's condition had deteriorated.Nuclear magnetic resonance-guided percutancous transthoracic needle aspiration and lung tissue, pleural fluid and blood culture were performed after admission to our hospital. Corynebacterium aquaticum was grown from the lung tissue, the blood and the pleural effusion. Therefore the diagnosis of Corynebacterium aquaticum pneumonia complicated with pyothorax and septicemia was confirmed. After draining of pleural pus and intravenous vancomycin therapy, the patient recovered and was discharged from hospital. After literature search, we did not find reports on Corynebacterium aquaticum pneumonia complicated with pyothorax and septicemia.
Corynebacterium aquaticum pneumonia complicated with pyothorax and septicemia is rare. The diagnosis could be confirmed by bacterial culture of lung tissue, pleural fluid and blood. Thoracic cavity draining and intravenous vancomycin are effective therapies for the disease.
探讨水生棒状杆菌感染的诊断与治疗方法。
对1例水生棒状杆菌感染病例进行回顾性分析并复习相关文献。
1例39岁男性患者因咳嗽、咳痰、发热及右胸痛10天入院。患者在外院接受了广谱抗生素治疗,但病情仍恶化。入院后行核磁共振引导下经皮经胸针吸活检,并进行肺组织、胸腔积液及血培养。肺组织、血液及胸腔积液培养均生长出水生棒状杆菌。确诊为水生棒状杆菌肺炎合并脓胸及败血症。经胸腔排脓及静脉应用万古霉素治疗后,患者康复出院。经文献检索,未发现水生棒状杆菌肺炎合并脓胸及败血症的报道。
水生棒状杆菌肺炎合并脓胸及败血症较为罕见。通过肺组织、胸腔积液及血液细菌培养可确诊。胸腔引流及静脉应用万古霉素是治疗该病的有效方法。