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一名儿童的播散性抗杀白细胞素阳性金黄色葡萄球菌感染

Disseminated Panton-Valentine Leukocidin-Positive Staphylococcus aureus infection in a child.

作者信息

Karli Arzu, Yanik Keramettin, Paksu Muhammet S, Sensoy Gulnar, Aykanat Alper, Yener Nazik, Belet Nursen, Ceyhan Meltem

机构信息

Department of Pediatric Infectious Diseases, Tıp Fakültesi, Ondokuz Mayıs Üniversitesi (OMÜ), Atakum/Samsun, 55270, Turkey.

Department of Clinical Microbiology, Tıp Fakültesi, Ondokuz Mayıs Üniversitesi (OMÜ), Atakum/Samsun, 55270, Turkey.

出版信息

Arch Argent Pediatr. 2016 Apr;114(2):e75-7. doi: 10.5546/aap.2016.eng.e75. Epub 2016 Apr 1.

Abstract

Panton-Valentine leukocidin (PVL) is an exotoxin that is produced by many strains of Staphylococcus aureus, and an important virulence factor. A PVL-positive S. aureus infection leads to rapid and severe infections of soft tissue and necrotizing pneumonia in healthy adolescents, and has a high mortality. This case report included a 12-year-old male patient who admitted for fever, respiratory distress and hip pain and was identified with necrotizing pneumonia with septic pulmonary embolism, psoas abscess, cellulitis and osteomyelitis. The PVL positive methicillin-sensitive S. aureus (MSSA) was isolated in the patient blood culture.

摘要

杀白细胞素(PVL)是一种由许多金黄色葡萄球菌菌株产生的外毒素,是一种重要的毒力因子。PVL阳性的金黄色葡萄球菌感染会导致健康青少年出现快速且严重的软组织感染和坏死性肺炎,死亡率很高。本病例报告包括一名12岁男性患者,他因发热、呼吸窘迫和髋部疼痛入院,被诊断为坏死性肺炎伴脓毒性肺栓塞、腰大肌脓肿、蜂窝织炎和骨髓炎。在患者的血培养中分离出了PVL阳性的甲氧西林敏感金黄色葡萄球菌(MSSA)。

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