一名肾病综合征婴儿患格氏金黄杆菌肺炎。
Chryseobacterium gleum pneumonia in an infant with nephrotic syndrome.
作者信息
Abdalhamid Baha, Elhadi Nasreldin, Alsamman Khaldoon, Aljindan Reem
机构信息
Department of Pathology and Laboratory Medicine, King Fahad Specialist Hospital, P.O. Box 15215, Dammam, Saudi Arabia.
Department of Clinical Laboratory Science, College of Applied Medical Science, University of Dammam, P.O. Box 2208, AlKhobar, Saudi Arabia.
出版信息
IDCases. 2016 Jun 30;5:34-6. doi: 10.1016/j.idcr.2016.06.004. eCollection 2016.
INTRODUCTION
Chryseobacterium gleum is commonly distributed in the environment. It can cause a wide variety of infections in immunocompromised patients in hospital setting.
CASE PRESENTATION
A 6 month old infant with nephrotic syndrome was admitted to the emergency room for an acute onset of fever, difficulty breathing, cyanosis, and low oral intake. Cultures of endotracheal tube specimens were positive for Chryseobacterium gleum which was confirmed by ribosomal sequencing. The organism was susceptible to trimethoprim-sulfamethoxazole, minocycline, and levofloxacin. The patient clinically improved on levofloxacin treatment.
CONCLUSION
To the best of our knowledge, this is the first case of pneumonia caused by Chryseobacterium gleum in an infant with nephrotic syndrome. It is also the first report of C. gleum causing respiratory tract infection in Saudi Arabia.
引言
黏金黄杆菌广泛分布于环境中。它可在医院环境中导致免疫功能低下患者发生多种感染。
病例报告
一名6个月大的肾病综合征婴儿因急性发热、呼吸困难、发绀和口服摄入量低而入住急诊室。气管内导管标本培养出黏金黄杆菌，经核糖体测序证实。该菌对甲氧苄啶-磺胺甲恶唑、米诺环素和左氧氟沙星敏感。患者接受左氧氟沙星治疗后临床症状改善。
结论
据我们所知，这是首例黏金黄杆菌引起的肾病综合征婴儿肺炎病例。这也是沙特阿拉伯关于黏金黄杆菌引起呼吸道感染的首例报告。
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