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A 广泛耐药的恶臭假单胞菌血症自发缓解。

A Extensively drug-resistant Pseudomonas putida bacteremia that was resolved spontaneously.

作者信息

Usta Atmaca Hanife, Akbas Feray

机构信息

University of Health Sciences, Internal Medicine Department, Istanbul Training and Research Hospital, Istanbul, Turkey.

出版信息

J Infect Dev Ctries. 2019 Jun 30;13(6):577-580. doi: 10.3855/jidc.11213.

Abstract

Pseudomonas putida (P. putida) is a rare pathogen that causes various infections in newborns, neutropenic and cancer patients, or in patients with risk factors leading to immunosuppresion. Antibiotic resistance in P. putida is seen in growing numbers. Although it is less virulent compared to Pseudomonas aeruginosa, mortal infections are reported. Here, a P. putida case after an invasive procedure in a patient with gastrointestinal malignancy is reported. Although, it caused an antibiotic resistant bacteremia, it resolved spontaneously without any treatment. P. Putida might have lower virulence and a different antibiotic susceptibility when compared to Pseudomonas aeruginosa in different cases. More clinical information is needed for further evaluation.

摘要

恶臭假单胞菌是一种罕见的病原体,可在新生儿、中性粒细胞减少症患者和癌症患者,或有导致免疫抑制风险因素的患者中引起各种感染。恶臭假单胞菌的抗生素耐药性越来越常见。虽然与铜绿假单胞菌相比其毒力较低,但仍有致命感染的报道。在此,报告了一例胃肠道恶性肿瘤患者在侵入性操作后发生的恶臭假单胞菌感染病例。尽管它引起了耐抗生素菌血症,但未经任何治疗即自发缓解。在不同病例中,与铜绿假单胞菌相比,恶臭假单胞菌的毒力可能较低,且对抗生素的敏感性也不同。需要更多临床信息进行进一步评估。

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