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[一名患有复杂先天性心脏病儿童的溶血孪生球菌脑脓肿]

[Gemella haemolysans brain abscess in a child with complex congenital heart disease].

作者信息

Chinbo Mehdi, Addebbous Amal, Moutachakkir Mariame, Rada Noureddine, Bouskraoui Mohamed, Chabaa Laila, Soraa Nabila

机构信息

Laboratoire de microbiologie, Hôpital Mère enfant, CHU Mohammed VI, Marrakech ; Faculté de médecine et de pharmacie, Université Cadi Ayyad, Marrakech, Maroc.

Service de pédiatrie, Hôpital Mère enfant, CHU Mohammed VI, Marrakech ; Faculté de médecine et de pharmacie, Université Cadi Ayyad, Marrakech, Maroc.

出版信息

Ann Biol Clin (Paris). 2014 Jul-Aug;72(4):487-90. doi: 10.1684/abc.2014.0976.

Abstract

Gemella haemolysans, a Gram positive cocci which are deemed to be the normal inhabitant of the mucous membranes of the oropharynx, has been recognized as a pathogen involved in abscess formation. The aim of this case report is to demonstrate that it is also involved in brain abscess in children. We report, to our knowledge, the first pediatric case of Gemella haemolysans brain abscess in an 11 years old child carrying a complex congenital heart disease (dextrocardia with single right ventricle) which evolved favorably under antibiotic therapy. Because of its similarity with Streptococcus viridans groupe, Gemella haemolysans often remains under-diagnosed in the laboratory. The contribution of microbiologists in its correct identification is very important.

摘要

溶血孪生球菌是一种革兰氏阳性球菌,被认为是口咽黏膜的正常定植菌,现已被确认为与脓肿形成有关的病原体。本病例报告的目的是证明它也与儿童脑脓肿有关。据我们所知,我们报告了首例11岁患有复杂先天性心脏病(右位心伴单右心室)的儿童溶血孪生球菌脑脓肿病例,该患儿在抗生素治疗下病情好转。由于溶血孪生球菌与草绿色链球菌群相似,在实验室中它常常诊断不足。微生物学家对其正确鉴定的贡献非常重要。

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