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[假白喉棒状杆菌引起的肺炎]

[Pneumonia caused byCorynebacterium pseudodiphtheriticum].

作者信息

Furiasse Daniela, Gasparotto Ana M, Monterisi Aída, Castellano Gabriela, Rocchi Marta

机构信息

Departamento de Bacteriología, Hospital Nacional de Clínicas, UNC, Córdoba, Argentina.

Servicio de Nefrología, Hospital Nacional de Clínicas, UNC, Córdoba, Argentina.

出版信息

Rev Argent Microbiol. 2016 Oct-Dec;48(4):290-292. doi: 10.1016/j.ram.2016.05.009. Epub 2016 Nov 9.

Abstract

Microorganisms of the genera Corynebacterium, specie pseudodiphtheriticum are a part of the indigenous microbiota of human skin and oropharinx. Nevertheless in recent decades these bacilli are emerging as opportunistic pathogens causing clinically significant infections in patients with previous compromise. We report the case of a 76 years old female patient, with a history of hypertension, hypothyroidism, type 2 diabetes and chronic renal failure, who presented pneumonia during their stay at the intensive care unit. The induced sputum revealed a representative sample with monomicrobial gram positive pleomorphic coryneform rods (Gram stain) and cultures demonstrated the presence of C. pseudodiphtheriticum as the only bacteria recovered. The pacient received an empirical third generation cephalosporin medication with a succesfull recovery.

摘要

棒状杆菌属的微生物,假白喉棒状杆菌种,是人体皮肤和口咽部正常微生物群的一部分。然而,在最近几十年中,这些杆菌正逐渐成为机会性病原体,在先前身体状况不佳的患者中引起具有临床意义的感染。我们报告一例76岁女性患者,有高血压、甲状腺功能减退、2型糖尿病和慢性肾衰竭病史,在重症监护病房住院期间出现肺炎。诱导痰显示为单一微生物革兰氏阳性多形性棒状杆菌的代表性样本(革兰氏染色),培养显示仅分离出假白喉棒状杆菌。患者接受经验性第三代头孢菌素治疗后成功康复。

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