Ahmed Abeera, Satti Luqman, Zaman Gohar, Gardezi Adeel, Sabir Nargis, Khadim Mohammed Tahir
Armed Force Institute of Pathology Pakistan.
J Pak Med Assoc. 2019 Feb;69(2):261-263.
A 61 year male, admitted in Combined Military Hospital Rawlpindi on 12th March 2017, operated for diverticulitis became colonized with Staphylococcus haemolyticus. Patient suffered repeated septic episodes caused by the same organism during his stay in hospital. The strain was identified as methicillin resistant Staphylococcus haemolyticus (MRSH) also resistant to Linezolid by analytical profile index for Staphylococcus (API Staph) and VITEK 2 Gram positive cocci panel. The isolate was cultured from blood cultures, Central Venous Catheter (CVC) tip and skin swabs. Patient was successfully treated with injectable vancomycin and skin decolonization was acheived with chlorhexidine bath after which no episode of MRSH infection occurred. Patient had an uneventful recovery and was discharged on 21st June. His follow up visit showed clinical improvement.
一名61岁男性于2017年3月12日入住拉瓦尔品第综合军事医院，因憩室炎接受手术，术后被溶血葡萄球菌定植。患者在住院期间多次因同一病原体引发败血症。通过葡萄球菌分析谱指数（API Staph）和VITEK 2革兰氏阳性球菌鉴定板，该菌株被鉴定为耐甲氧西林溶血葡萄球菌（MRSH），同时对利奈唑胺耐药。该分离株从血培养、中心静脉导管（CVC）尖端和皮肤拭子中培养获得。患者接受注射用万古霉素治疗成功，并用洗必泰浴实现皮肤去定植，此后未发生MRSH感染事件。患者康复顺利，于6月21日出院。他的随访显示临床状况有所改善。
