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免疫功能正常成年人中由紫色色杆菌引起的无症状菌尿症

Asymptomatic Bacteriuria Caused by Chromobacterium violaceum in an Immunocompetent Adult.

作者信息

Pant Narayan Dutt, Sharma Manisha, Khatiwada Saroj

机构信息

Department of Microbiology, Grande International Hospital, P.O. Box 11796, Dhapasi, Kathmandu, Nepal.

CIST College, Kathmandu, Nepal.

出版信息

Case Rep Med. 2015;2015:652036. doi: 10.1155/2015/652036. Epub 2015 Oct 4.

Abstract

Because of increasing antimicrobial resistance, the treatment of the asymptomatic bacteriuria is not considered except in specific circumstances like during pregnancy or before invasive urologic procedures. We are reporting a first case of asymptomatic bacteriuria caused by Chromobacterium violaceum in a 16-year-old male. With the reporting of the C. violaceum which is notorious for its high propensity for hematogenous dissemination causing fatal sepsis (with reported mortality rate up to 65-80%) if prompt proper treatment is not given, as causative agent of asymptomatic bacteriuria, it is recommended to treat the asymptomatic bacteriuria caused by this organism.

摘要

由于抗菌药物耐药性不断增加,除了在怀孕或侵入性泌尿外科手术前等特定情况下,无症状菌尿症一般不予治疗。我们报告了首例由紫色色杆菌引起的无症状菌尿症病例,患者为一名16岁男性。鉴于紫色色杆菌若未得到及时恰当治疗极易通过血行播散导致致命性败血症(报道的死亡率高达65%-80%),现该菌作为无症状菌尿症的病原体被报道,建议对由该菌引起的无症状菌尿症进行治疗。

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