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医院内患者静脉注射吸毒:持续性菌血症的一个原因

Intravenous Drug Abuse by Patients Inside the Hospital: A Cause for Sustained Bacteremia.

作者信息

Goel Noopur, Munshi Lubna Bashir, Thyagarajan Braghadheeswar

机构信息

Department of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.

出版信息

Case Rep Infect Dis. 2016;2016:1738742. doi: 10.1155/2016/1738742. Epub 2016 Jun 28.

Abstract

Patients with history of intravenous drug abuse are noted to be at risk of several infections including HIV, endocarditis, and other opportunistic infections. We report the case of a patient with sustained Bacillus cereus bacteremia despite use of multiple antibiotic regimens during his inpatient stay. Our case highlights the importance of high suspicion for active drug use inside the hospital in such patients. This is important in order to minimize unnecessary diagnostic workup and provide adequate treatment and safe hospital stay for these patients.

摘要

有静脉药物滥用史的患者被认为有感染多种疾病的风险,包括艾滋病毒、心内膜炎和其他机会性感染。我们报告了一例患者,尽管在住院期间使用了多种抗生素治疗方案,但仍持续发生蜡样芽孢杆菌菌血症。我们的病例强调了对此类患者在医院内存在活跃药物使用情况保持高度怀疑的重要性。这一点很重要,以便尽量减少不必要的诊断检查,并为这些患者提供充分的治疗和安全的住院环境。

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本文引用的文献

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Bacillus cereus, a volatile human pathogen.蜡样芽胞杆菌,一种易变的人类病原体。
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Rev Infect Dis. 1982 Jan-Feb;4(1):97-103. doi: 10.1093/clinids/4.1.97.

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