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肠球菌属所致的胸腔积脓:一种罕见病因。

Pleural empyema due to Enterococcus species: An uncommon etiology.

作者信息

Mohanty Srujana, Bhuniya Sourin

机构信息

Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, 751019, Odisha, India.

Department of Pulmonary Medicine & Critical Care, All India Institute of Medical Sciences, Bhubaneswar, 751019, Odisha, India.

出版信息

Respir Med Case Rep. 2021 Mar 2;32:101375. doi: 10.1016/j.rmcr.2021.101375. eCollection 2021.

DOI:10.1016/j.rmcr.2021.101375
PMID:33732614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7940993/
Abstract

We report a case of empyema due to in a 50-year-old woman with no apparent severe immune system impairment, except for underlying thyroid disorder and hypochromic anaemia. Appropriate antibiotic therapy with parenteral amoxicillin-clavulanate with gentamicin, tube drainage and other supportive therapy resulted in a favourable outcome and the patient was discharged after 3 weeks of hospitalization. Though uncommon, the possibility of species should be kept in mind as a causative agent of thoracic empyema, especially in adults presenting from the community.

摘要

我们报告一例50岁女性因[具体病因未提及]患脓胸的病例,该患者除患有潜在的甲状腺疾病和低色素性贫血外,无明显严重免疫系统损害。采用胃肠外阿莫西林 - 克拉维酸联合庆大霉素进行适当的抗生素治疗、置管引流及其他支持治疗取得了良好效果,患者住院3周后出院。尽管不常见,但[具体物种未提及]作为胸腔脓胸的病原体的可能性应予以考虑,尤其是在社区就诊的成年人中。

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本文引用的文献

1
Pathogenicity of Enterococci.肠球菌的致病性。
Microbiol Spectr. 2019 Jul;7(4). doi: 10.1128/microbiolspec.GPP3-0053-2018.
2
Vancomycin-resistant Enterococcus faecium Empyema in an Asplenic Patient.一名无脾患者的耐万古霉素粪肠球菌脓胸
Cureus. 2018 Aug 29;10(8):e3227. doi: 10.7759/cureus.3227.
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Empyema caused by a colopleural fistula: A case report.结肠胸膜瘘引起的脓胸:一例报告。
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Empyema thoracis caused by an optrA-positive and linezolid-intermediate Enterococcus faecalis strain.由一株携带optrA基因且对利奈唑胺中度敏感的粪肠球菌引起的胸腔积脓。
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Int J STD AIDS. 2009 Sep;20(9):659-61. doi: 10.1258/ijsa.2008.008456.
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Pleural Enterococcus faecalis empyema: an unusual case.粪肠球菌性胸膜炎脓胸:一例罕见病例。
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