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肺炎:小心!

pneumonia: beware of the dog!

作者信息

Clements Jamie, McGrath Christopher, McAllister Charlie

机构信息

Intensive Care, Craigavon Area Hospital, Portadown, UK.

出版信息

BMJ Case Rep. 2018 Apr 27;2018:bcr-2018-224588. doi: 10.1136/bcr-2018-224588.

Abstract

We report the case of a 35-year-old quadriplegic male with confirmed pneumonia, manifesting with acute hypoxic respiratory failure on a background of chronic hypercarbia requiring mechanical ventilation in intensive care. are known to colonise the upper respiratory tracts of many mammals but are very rarely responsible for acute respiratory tract infections in humans.A review of the literature suggests preponderance for immunocompromised or immunoincompetent patients who have experienced environmental exposure to colonised animals. The disease pattern of infection is non-uniform and while it is rarely described as a commensal or colonising organism, very few case reports describe severe respiratory infections.

摘要

我们报告了一例35岁的四肢瘫痪男性病例,确诊为肺炎,在慢性高碳酸血症背景下出现急性低氧性呼吸衰竭,需要在重症监护室进行机械通气。已知(某种病菌)可在许多哺乳动物的上呼吸道定植,但极少导致人类急性呼吸道感染。文献综述表明,在曾接触过被该病菌定植动物的免疫功能低下或无免疫能力的患者中更为常见。(该病菌)感染的疾病模式并不一致,虽然它很少被描述为共生菌或定植菌,但很少有病例报告描述严重的呼吸道感染。

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