Olalekan Adesola, Itua Faith, Mutiu Bamidele, Egwuatu Tenny, Akinloye Olubukola, Iwalokun Bamidele
Department of Medical Laboratory Science, College of Medicine, University of Lagos, Lagos, Nigeria.
Department of Medical Microbiology & Parasitology, Lagos State University Teaching Hospital, Lagos, Nigeria.
Case Rep Med. 2019 Feb 7;2019:5321484. doi: 10.1155/2019/5321484. eCollection 2019.
has been implicated as an important cause of invasive diseases such as septicaemia in neonates and immune-compromised adults with high risk of misdiagnosis, mistreatment, and poor outcomes. Here, we report three new cases of infections in three different hospitalised patients with empyema thoracis (one case) and urinary tract infections (two cases) in a tertiary Hospital in Lagos, Nigeria, and the diagnosis was confirmed with the MALDI-TOF MS instrument. The patients were admitted and treated with parenteral antibiotics (ciprofloxacin, cefotaxime, and ceftriaxone) and discharged after clinical cure. Clinical and Laboratory findings from this study revealed as an emerging and an "underdiagnosed" pathogen causing human infections in Nigeria with ciprofloxacin identified as an effective empirical treatment. Follow-up of cases treated with microbiologically efficacious antibiotics indicates a good treatment outcome.
已被认为是侵袭性疾病的重要原因,如新生儿败血症以及免疫功能低下的成年人,这些患者存在误诊、治疗不当和预后不良的高风险。在此,我们报告在尼日利亚拉各斯的一家三级医院中,三名不同住院患者发生感染的三例新病例,其中一例为脓胸,两例为尿路感染,通过基质辅助激光解吸电离飞行时间质谱仪(MALDI-TOF MS)确诊。患者入院后接受了肠外抗生素(环丙沙星、头孢噻肟和头孢曲松)治疗,临床治愈后出院。本研究的临床和实验室结果显示,在尼日利亚,[病原体名称未给出]是一种新兴的且“诊断不足”的导致人类感染的病原体,环丙沙星被确定为有效的经验性治疗药物。对接受微生物学有效抗生素治疗的病例进行随访表明治疗效果良好。