医院病原体中出现的多重耐药性
: emerging multidrug resistance in a nosocomial pathogen.
作者信息
Raghavan Sairam, Thomas Biji, Shastry B A
机构信息
Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India.
出版信息
BMJ Case Rep. 2017 Oct 10;2017:bcr-2017-221076. doi: 10.1136/bcr-2017-221076.
Abstract
A 46-year-old male patient presented with complaints of burning micturition for 2 days. Initial history, physical examination and laboratory investigations were consistent with the diagnosis of congestive cardiac failure (CCF) and concomitant urinary tract infection. CCF was treated with diuretics and a urine culture/sensitivity (C/S) was sent which returned growing resistant to all tested drugs. Intravenous cefotaxime which had been started empirically 3 days earlier was withheld at this point, and a repeat urine C/S was sent revealing resistance to all tested drugs (including reserved drugs) barring minocycline. The patient was treated with oral minocycline for 14 days after which he was symptomatically better with sterile urine. The patient was subsequently discharged.
摘要
一名46岁男性患者主诉排尿烧灼感2天。初步病史、体格检查和实验室检查结果与充血性心力衰竭（CCF）及并发尿路感染的诊断相符。CCF采用利尿剂治疗，并送检了尿培养/药敏试验（C/S），结果显示对所有测试药物均耐药。此时停用了3天前经验性使用的静脉注射头孢噻肟，并再次送检尿C/S，结果显示除米诺环素外对所有测试药物（包括储备药物）均耐药。该患者接受口服米诺环素治疗14天，之后症状改善，尿液无菌。患者随后出院。
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