一位哺乳期母亲的肺炎球菌性产褥期乳腺炎
Pneumococcal puerperal mastitis in a lactating mother.
作者信息
Skalidis T, Stamnidi A, Syriopoulou V, Kontopoulos G, Legakis N
机构信息
Central Laboratories, IASO Gynecology, Maternity and Pediatric Hospital, IASO Group Hospitals, Athens, Greece.
Medical School, National and Kapodistrian University of Athens, Athens, Greece.
出版信息
Access Microbiol. 2019 Apr 24;1(6):e000020. doi: 10.1099/acmi.0.000020. eCollection 2019.
INTRODUCTION
A case of pneumococcal mastitis in a breast-feeding mother 6 months postpartum is described. Mastitis is usually caused by . A review of the literature from 1950 to March 2018 revealed only four other cases in which the causative organism was .
CASE PRESENTATION
The nursing mother presented with high fever and the four cardinal signs of inflammation of the left breast: calor, dolor, rubor, tumour. In milk culture was isolated in numbers exceeding 10 c.f.u. ml . The strain was of polysaccharide serotype 11 not included in Prevnar-13. Susceptibility testing showed full sensitivity to -lactam antibiotics as well as to macrolides, lincosamides, vancomycin and tetracycline.
CONCLUSION
should be considered as a possible causative agent of puerperal mastitis.
引言
本文描述了一例产后6个月的母乳喂养母亲患肺炎球菌性乳腺炎的病例。乳腺炎通常由……引起。对1950年至2018年3月的文献回顾显示，仅有另外4例病例的病原体为……
病例介绍
这位哺乳期母亲出现高热以及左乳房炎症的四大主要症状：红、肿、热、痛。乳汁培养分离出……，数量超过10⁵ c.f.u./ml。该菌株为11型多糖血清型，不在沛儿13价疫苗范围内。药敏试验显示对β-内酰胺类抗生素以及大环内酯类、林可酰胺类、万古霉素和四环素完全敏感。
结论
……应被视为产褥期乳腺炎的一种可能病原体。
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