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败血分枝杆菌:来自一家三级医院和参考实验室的6年临床经验。

Mycobacterium septicum: a 6-Year Clinical Experience from a Tertiary Hospital and Reference Laboratory.

作者信息

Go John Raymond, Wengenack Nancy L, Abu Saleh Omar M, Corsini Campioli Cristina, Deml Sharon M, Wilson John W

机构信息

Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA

Division of Clinical Microbiology, Mayo Clinic, Rochester, Minnesota, USA.

出版信息

J Clin Microbiol. 2020 Nov 18;58(12). doi: 10.1128/JCM.02091-20.

Abstract

is a rarely identified nontuberculous mycobacterium capable of causing infections in both healthy and immunocompromised individuals. Only a few cases of infections have been reported, which makes recognizing corresponding clinical disease more challenging for clinicians. Antimicrobial susceptibility profiles for this organism are not well described, and corresponding optimal therapeutic regimens have not been established. We report a tertiary care center's experience with from 2014 to 2020. Twelve adult patients with positive cultures for were identified. Most cases were identified from sputum samples of individuals with underlying lung disease. Most cases involving isolation in culture were not felt to be clinically significant. Two cases were considered possible infections, while only one case was considered a definite infection that required antimicrobial treatment. All isolates were susceptible to amikacin, ciprofloxacin, imipenem, linezolid, moxifloxacin, and trimethoprim-sulfamethoxazole. Isolates were universally resistant to clarithromycin and doxycycline. The isolation of in culture is uncommon and requires clinical correlation to determine its clinical relevance and need for treatment. Susceptibility testing should be performed to guide therapy.

摘要

是一种罕见的非结核分枝杆菌,能够在健康个体和免疫功能低下个体中引起感染。仅报告了少数几例感染病例,这使得临床医生识别相应的临床疾病更具挑战性。该菌的抗菌药物敏感性情况描述不佳,相应的最佳治疗方案尚未确立。我们报告了一家三级医疗中心在2014年至2020年期间对该菌的诊疗经验。共识别出12例该菌培养阳性的成年患者。大多数病例是从患有基础肺部疾病个体的痰液样本中识别出来的。大多数培养中分离出该菌的病例被认为无临床意义。2例被认为可能是感染,而只有1例被认为是需要抗菌治疗的确诊感染。所有该菌分离株对阿米卡星、环丙沙星、亚胺培南、利奈唑胺、莫西沙星和复方磺胺甲恶唑敏感。分离株对克拉霉素和多西环素普遍耐药。该菌在培养中分离罕见,需要结合临床来确定其临床相关性及治疗需求。应进行药敏试验以指导治疗。

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