[W群血清型克隆复合体11脑膜炎球菌引起的自发性细菌性腹膜炎和菌血症]

[Spontaneous bacterial peritonitis and bacteraemia caused by meningococci serogroup W clonal complex 11].

作者信息

Iversen Martin Søholm, Hoffmann Steen, Lind Katrine, Dungu Arnold, Johannesen Thor Bech, Holzknecht Barbara J

出版信息

Ugeskr Laeger. 2018 Apr 16;180(16).

Abstract

In recent years, the incidence of invasive meningococcal disease (IMD) caused by serogroup W (SG-W) has been rising, in particular SG-W within clonal complex 11 (cc11), which has caused epidemics and is believed to cause severe and atypical IMD. This is a case report of spon-taneous bacterial peritonitis and bacteraemia caused by meningococci SG-W cc11 in a 60-year-old female with systemic lupus erythematosus in prolonged remission as her only risk factor. Antibiotic therapy was initiated at admission, and peritoneal lavage was performed. The patient recovered successfully without sequelae.

摘要

近年来，由W群血清型（SG-W）引起的侵袭性脑膜炎球菌病（IMD）发病率一直在上升，尤其是克隆复合体11（cc11）中的SG-W，它已引发多起疫情，并且被认为会导致严重和非典型的IMD。本文报告了一例60岁女性系统性红斑狼疮患者发生自发性细菌性腹膜炎和菌血症的病例，该患者处于长期缓解期，唯一的风险因素是患有系统性红斑狼疮。患者入院时即开始抗生素治疗，并进行了腹腔灌洗。患者成功康复，无后遗症。