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耐头孢他啶洋葱伯克霍尔德菌:一名孕妇的罕见病例

Ceftazidime-Resistant Burkholderia Cepacia: An Unusual Case in a Pregnant Patient.

作者信息

Ishtiaq Rizwan, Akram Ali, Zulfiqar Laraib, Ishtiaq Daniyal, Ashraf Anam, Arif Mariam

机构信息

Gastroenterology, Beth Israel Deaconess Medical Center, Boston.

Internal Medicine, BIDMC, Harvard Medical School.

出版信息

Cureus. 2017 Nov 1;9(11):e1812. doi: 10.7759/cureus.1812.

Abstract

Intensive care unit (ICU) sepsis in patients is a common clinical practice primarily in the tertiary care settings. Multidrug resistance to pathogens causing ICU sepsis is widespread, and it poses a severe threat to physicians in terms of managing their patients. At times, physicians get exposed to a pathogen they have never encountered before. Burkholderia cepacia infection in immunocompetent patients is rare. This infection is common in patients with immunocompromised immunity and cystic fibrosis. We report a case of a 34-year-old female who was diagnosed with ceftazidime-resistant Burkholderia cepacia in an ICU setting. This is the first case of drug-resistant Burkholderia cepacia reported from Pakistan.

摘要

重症监护病房(ICU)患者的败血症是三级医疗机构中常见的临床病症。导致ICU败血症的病原体对多种药物耐药的情况普遍存在,这对医生治疗患者构成了严重威胁。有时,医生会接触到他们从未遇到过的病原体。免疫功能正常的患者感染洋葱伯克霍尔德菌很罕见。这种感染在免疫功能低下和患有囊性纤维化的患者中很常见。我们报告一例34岁女性病例,该患者在ICU环境中被诊断为对头孢他啶耐药的洋葱伯克霍尔德菌感染。这是巴基斯坦报告的首例耐药洋葱伯克霍尔德菌病例。

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