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一名免疫功能正常的女性患者在输尿管结石体外冲击波碎石术后发生木糖氧化无色杆菌引起的感染性休克病例。

A Case of Septic Shock caused by Achromobacter xylosoxidans in an Immunocompetent Female Patient after Extracorporeal Shock Wave Lithotripsy for a Ureteral Stone.

作者信息

Lee Jae Hyuk, Lee So Yon, Park In Young, Park So Yeon, Lee Jin Seo, Kang Goeun, Kim Jae Seok, Eom Joong Sik

机构信息

Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical College, Seoul, Korea.

Department of Laboratory Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical College, Seoul, Korea.

出版信息

Infect Chemother. 2016 Mar;48(1):47-50. doi: 10.3947/ic.2016.48.1.47. Epub 2016 Mar 31.

Abstract

Achromobacter xylosoxidans can cause various types of infections, but its infection in humans is rare. A. xylosoxidans has been reported as a rare etiological agent of infections including primary bacteremia, catheter-related bloodstream infection, endocarditis, otitis, and pneumonia, particularly in immunocompromised hosts. We encountered a case of septic shock caused by A. xylosoxidans in a 52-year-old, immunocompetent woman with no underlying disease, who received extracorporeal shock wave lithotripsy to remove a left upper ureteral stone. She was treated with antibiotics to which the organism was susceptible but died as a result of septic shock.

摘要

木糖氧化无色杆菌可引起多种类型的感染,但其在人类中的感染较为罕见。木糖氧化无色杆菌已被报道为包括原发性菌血症、导管相关血流感染、心内膜炎、中耳炎和肺炎等感染的罕见病原体,尤其是在免疫功能低下的宿主中。我们遇到了一例由木糖氧化无色杆菌引起的感染性休克病例,患者为一名52岁、免疫功能正常且无基础疾病的女性,她接受了体外冲击波碎石术以清除左输尿管上段结石。她接受了对该菌敏感的抗生素治疗,但最终因感染性休克死亡。

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