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:血管移植物感染的一个新出现的原因。

: an emerging cause of vascular graft infection.

作者信息

Ramesh Rommel, Assi Mariam, Esquer Garrigos Zerelda, Sohail Muhammad Rizwan

机构信息

Charles University Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic.

Mayo Clinic Rochester, Rochester, Minnesota, USA.

出版信息

BMJ Case Rep. 2021 Feb 26;14(2):e237350. doi: 10.1136/bcr-2020-237350.

Abstract

an emerging pathogen, was first described in 2016, and has been implicated in abdominal, breast and spinal abscesses in a limited number of cases. Being a fastidious organism, it is primarily identified with molecular methods. With the incorporation of broad-range PCR testing in clinical diagnostics, has been increasingly reported in the literature. We describe a case of a 65-year-old man who presented with bilateral psoas abscesses secondary to aorto-bi-iliac vascular graft infection with identified using 16S rRNA/PCR sequencing. The patient underwent surgical resection and replacement of infected graft, followed by 6 weeks of intravenous antibiotic therapy and then chronic suppression with doxycycline and cefadroxil. He was infection-free at last follow-up.

摘要

一种新出现的病原体,于2016年首次被描述,在少数病例中与腹部、乳腺和脊柱脓肿有关。作为一种苛求菌,它主要通过分子方法进行鉴定。随着临床诊断中广泛使用的聚合酶链反应检测,该病原体在文献中的报道越来越多。我们描述了一例65岁男性患者,其因主动脉-双髂血管移植感染继发双侧腰大肌脓肿,通过16S rRNA/聚合酶链反应测序鉴定出该病原体。患者接受了手术切除和感染移植物置换,随后进行了6周的静脉抗生素治疗,然后用强力霉素和头孢羟氨苄进行长期抑制治疗。在最后一次随访时,他没有感染。

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