一例由纤细斯莱克氏菌引起的伴有急性呼吸窘迫综合征的严重脓胸病例，需采用静脉-静脉体外膜肺氧合治疗。
A case of severe empyema with acute respiratory distress syndrome caused by Slackia exigua requiring veno-venous extracorporeal membrane oxygenation.
作者信息
Man M Y, Shum H P, Wu Alan, Lee R A, Yan W W
机构信息
Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
出版信息
Anaerobe. 2017 Dec;48:7-11. doi: 10.1016/j.anaerobe.2017.06.017. Epub 2017 Jun 28.
Slackia exigua (S. exigua) is an obligatory anaerobic coccobacillus under the family of Coriobacteriaceae. It is a rare cause of pyogenic extraoral infections. We report a 58-year-old lady with good past health presented with fulminant community-acquired pneumonia causing acute respiratory distress syndrome caused by S. exigua requiring veno-venous extra-corporeal membrane oxygenation (VV-ECMO). Bacterial identification can be challenging and often require 16 S rRNA and MALDI-TOF MS. The patient was treated with amoxicillin-clavulanic acid according to sensitivity and made significant recovery.
短小Slackia菌（S. exigua）是放线菌科下的一种专性厌氧球杆菌。它是化脓性口外感染的罕见病因。我们报告一例58岁既往健康的女性，她因短小Slackia菌引起暴发性社区获得性肺炎，导致急性呼吸窘迫综合征，需要静脉-静脉体外膜肺氧合（VV-ECMO）治疗。细菌鉴定可能具有挑战性，通常需要16S rRNA和基质辅助激光解吸电离飞行时间质谱（MALDI-TOF MS）。患者根据药敏结果接受阿莫西林-克拉维酸治疗，病情显著好转。
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