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多发性骨髓瘤患者播散性“嗜血流感杆菌”感染——病例报告及文献复习。

Disseminated "Haemophilus quentini" infection in a patient with multiple myeloma - a case report and review of the literature.

机构信息

Infectious diseases unit, Sanz medical center, Laniado hospital, Netanya, Israel; Ruth and Bruce Rappaport, faculty of medicine, Technion university, Haifa, Israel.

Infectious diseases unit, Sanz medical center, Laniado hospital, Netanya, Israel; Ruth and Bruce Rappaport, faculty of medicine, Technion university, Haifa, Israel.

出版信息

Diagn Microbiol Infect Dis. 2019 Jul;94(3):293-296. doi: 10.1016/j.diagmicrobio.2019.02.004. Epub 2019 Feb 10.

Abstract

We describe a case report of a 56-year-old male with undiagnosed multiple myeloma who had severe sepsis associated with pneumonia, meningitis, polyarthritis, and osteomyelitis related to invasive "Haemophilus quentini" infection. The genus was misidentified as H. influenzae by the common bacterial identification systems including newly introduced syndromic PCR-based methods. We review the epidemiological, clinical, and laboratory aspects of this rare, cryptic species of Haemophilus.

摘要

我们描述了一例 56 岁男性病例,该男性患有未确诊的多发性骨髓瘤,并发严重脓毒症,伴有肺炎、脑膜炎、多发性关节炎和与侵袭性“嗜血流感菌”感染相关的骨髓炎。该属通过包括新引入的基于综合征 PCR 的方法在内的常见细菌鉴定系统被错误鉴定为流感嗜血杆菌。我们回顾了这种罕见的、隐匿性嗜血杆菌属的流行病学、临床和实验室方面。

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