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一名免疫功能低下患者在多次被猫抓伤后发生多杀巴斯德菌血症。

Pasteurella multocida Bacteremia in an Immunocompromised Patient After Multiple Cat Scratches.

作者信息

Boadu Charles, Hernandez Andrea, Zeidan Bassem, Young Jordan T, Frunzi Johnathan

机构信息

Internal Medicine, Medical Center of Trinity, Trinity, USA.

出版信息

Cureus. 2021 Jan 27;13(1):e12938. doi: 10.7759/cureus.12938.

Abstract

(P. multocida) is a zoonotic organism found in the normal flora of domestic and wild animals. In this case report, we present a 70-year-old Caucasian male who presented with fever, chills, and greenish sputum which began hours prior to presentation. His symptoms were initially thought to be due to refractory pneumonia because the patient had been discharged from our hospital three weeks prior to presentation. Blood cultures grew , a rare pathogen to cause bacteremia. He was treated with cefepime and later amoxicillin/clavulanic acid and made an uneventful recovery. Later history of the patient's cats scratching him was thought to be the mode of transmission. infection is rare, and can also be dangerous and even fatal in immunocompromised individuals. Clinicians must therefore operate with a high degree of suspicion especially when treating immunocompromised patients with bacteremia.

摘要

多杀巴斯德菌是一种人畜共患病原体,存在于家养和野生动物的正常菌群中。在本病例报告中,我们介绍了一名70岁的白种男性,他在就诊前数小时开始出现发热、寒战和绿色痰液。由于患者在就诊前三周已从我院出院,其症状最初被认为是由于难治性肺炎所致。血培养生长出一种罕见的导致菌血症的病原体。他接受了头孢吡肟治疗,后来又使用了阿莫西林/克拉维酸,恢复过程顺利。患者后来提到被他的猫抓伤,这被认为是传播途径。多杀巴斯德菌感染很罕见,在免疫功能低下的个体中也可能是危险的,甚至是致命的。因此,临床医生必须高度怀疑,尤其是在治疗免疫功能低下的菌血症患者时。

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本文引用的文献

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Bacteremia in an Immunocompromised Patient.免疫功能低下患者的菌血症
Case Rep Med. 2016;2016:7392847. doi: 10.1155/2016/7392847. Epub 2016 Oct 25.
6
Clinical Features and Outcomes of Pasteurella multocida Infection.多杀巴斯德菌感染的临床特征与结局
Medicine (Baltimore). 2015 Sep;94(36):e1285. doi: 10.1097/MD.0000000000001285.

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