由产CTX-M-15型超广谱β-内酰胺酶的肠炎沙门氏菌11型序列菌株引起的社区获得性脓性肌炎。

Community-onset pyomyositis caused by a Salmonella enterica serovar enteritidis sequence type 11 strain producing CTX-M-15 extended-spectrum β-lactamase.

作者信息

Hwang Jeong-Hwan, Shin Gee-Wook, Lee Chang-Seop

机构信息

Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Republic of Korea Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.

Biosafety Reference Center and College of Veterinary Medicine, Chonbuk National University, Jeonju, Republic of Korea.

出版信息

J Clin Microbiol. 2015 Apr;53(4):1439-41. doi: 10.1128/JCM.03097-14. Epub 2015 Feb 4.

DOI:10.1128/JCM.03097-14

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4365223/

Abstract

We report a case of community-onset pyomyositis due to Salmonella enterica serovar Enteritidis in South Korea. The isolated strain was resistant to extended-spectrum cephalosporins and harbored sequence type 11 coproducing CTX-M-15 extended-spectrum β-lactamase (ESBL). Physicians should be alert for early diagnosis and appropriate treatment since ESBL-producing nontyphoidal Salmonella infections are difficult to treat without initiation of appropriate empirical antibiotics.

摘要

我们报告了一例韩国社区获得性肠炎沙门氏菌肠炎血清型引起的脓性肌炎病例。分离出的菌株对超广谱头孢菌素耐药，并携带序列型11，同时产生CTX-M-15超广谱β-内酰胺酶（ESBL）。由于产ESBL的非伤寒沙门氏菌感染在未开始适当经验性抗生素治疗的情况下难以治疗，医生应警惕早期诊断和适当治疗。

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