Galliguez T, Tsou P Y, Cabrera A, Fergie J
Department of Pediatrics, Driscoll Children's Hospital and College of Medicine, Texas A&M University , Corpus Christi, TX, USA.
Br J Biomed Sci. 2021 Apr;78(2):101-105. doi: 10.1080/09674845.2020.1827846. Epub 2021 Jan 13.
We report a 12-year-old diabetic boy with a right-sided parapneumonic effusion and pneumonia who failed initial empirical antibiotics. was identified from the pleural fluid using next-generation sequencing-based clinical metagenomics with cultures of pleural fluid and blood resulting negative. The patient responded well to intravenous meropenem followed by oral metronidazole.
我们报告了一名12岁的糖尿病男孩,他患有右侧肺炎旁胸腔积液和肺炎,初始经验性抗生素治疗失败。通过基于下一代测序的临床宏基因组学从胸腔积液中鉴定出病原体,而胸腔积液和血液培养结果均为阴性。患者静脉注射美罗培南后改用口服甲硝唑,治疗效果良好。