Chemsi Hicham, Frikh Mohamed, Lemnouer Abdelhay, Belfkih Bouchra, Sekhsokh Yassine, Chadli Maryama, Elouennass Mustapha
Laboratoire de Bactériologie de l'Hôpital Militaire d'Instruction Mohamed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V Souissi, Rabat, Maroc.
Laboratoire de Bactériologie de l'Hôpital Militaire d'Instruction Mohamed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V Souissi, Rabat, Maroc; Equipe de Recherche Epidémiologie et Résistance Bactérienne, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V-Souissi, Rabat, Maroc.
Pan Afr Med J. 2016 Oct 17;25:84. doi: 10.11604/pamj.2016.25.84.7290. eCollection 2016.
Haemophilus influenzae is a saprophyte that colonizes the nasopharynx in nearly two thirds of children and adults. Neisseria meningitidis is a strict human bacterium which lives in the nasopharynx. It can cause benign nasopharyngitis or asymptomatic colonization. We report the case of a diabetic child with postoperative pneumonia associated with Haemophilus influenzae and Neisseria meningitidis. A 3-year old diabetic patient admitted to the Department of Cardiac Surgery due to delayed surgical treatment. The postoperative course was marked by a worsening of respiratory status caused by abundant secretions requiring patient admission to the intensive care unit. An assessment for the detection of infections was performed, including protected distal sampling which revealed the association of Neisseria meningitidis with Haemophilus influenzae. This case study allowed us to highlight bacterial associations in certain high-risk situations. Each of these two species is responsible for various infections. However their presence in the same infected site is rare.
流感嗜血杆菌是一种腐生菌,在近三分之二的儿童和成人中定殖于鼻咽部。脑膜炎奈瑟菌是一种严格的人类细菌,存在于鼻咽部。它可引起良性鼻咽炎或无症状定殖。我们报告一例糖尿病儿童术后肺炎合并流感嗜血杆菌和脑膜炎奈瑟菌感染的病例。一名3岁糖尿病患者因手术治疗延迟入住心脏外科。术后病程的特点是呼吸状况恶化,因大量分泌物导致患者需入住重症监护病房。进行了感染检测评估,包括保护性远端采样,结果显示脑膜炎奈瑟菌与流感嗜血杆菌有关联。本病例研究使我们能够突出某些高危情况下的细菌关联。这两种细菌各自都可导致多种感染。然而,它们在同一感染部位出现的情况很少见。