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1例免疫功能低下宿主在超感染期间发生的与哌拉西林-他唑巴坦不敏感、头孢曲松敏感相关的菌血症和脑膜炎病例

A Case of Bacteremia and Meningitis Associated with Piperacillin-Tazobactam Nonsusceptible, Ceftriaxone Susceptible during Hyperinfection in an Immunocompromised Host.

作者信息

Dahal Santosh, Lederman Jeffrey, Berman Jesse, Viseroi Marius, Jesmajian Stephen

机构信息

Department of Internal Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, New Rochelle, NY 10801, USA.

出版信息

Case Rep Infect Dis. 2017;2017:8634717. doi: 10.1155/2017/8634717. Epub 2017 Nov 22.

Abstract

Strongyloidiasis is an emerging parasitic infection with intriguing epidemiology, presentation, and clinical management. We report a case of hyperinfection syndrome complicated by bacteremia and meningitis with one of the isolates showing a unique resistance pattern recently being recognized. This report describes the aspect of invasive bacterial infections in strongyloidiasis and highlights the unique susceptibility pattern of the isolate and the extreme caution required during the antibiotic therapy.

摘要

类圆线虫病是一种新出现的寄生虫感染,其流行病学、临床表现和临床管理都很有趣。我们报告一例并发菌血症和脑膜炎的超感染综合征病例,其中一株分离菌显示出最近才被认识到的独特耐药模式。本报告描述了类圆线虫病中侵袭性细菌感染的情况,并强调了分离菌独特的易感性模式以及抗生素治疗期间所需的极度谨慎。

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