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一名患有无丙种球蛋白血症患者的社区获得性肺炎。

Community-acquired pneumonia in a patient with agammaglobulinaemia.

作者信息

El Gharib K, Masri K, Daoud Z, Sfeir T

机构信息

Department of Internal Medicine, Hôtel-Dieu de France, Beirut, Lebanon.

Department of Infectious Diseases, Centre Hospitalier du Nord Hospital, Zghorta, Lebanon.

出版信息

New Microbes New Infect. 2021 Mar 19;41:100870. doi: 10.1016/j.nmni.2021.100870. eCollection 2021 May.

Abstract

We herein describe the case of a 38-year-old patient with congenital agammaglobulinemia who presented with community-acquired pneumonia; acute respiratory failure with sepsis ensued requiring ICU admission, mechanical ventilation and vasopressors administration. The causative organism was identified as , sensitive to multiple agents. Stewardship was effectively applied; clinical, biologic and radiologic improvement resulted, and the patient was later discharged on ciprofloxacin therapy; improvement being maintained thereafter. This is the first reported case of community-acquired pneumonia in our region.

摘要

我们在此描述一名38岁先天性无丙种球蛋白血症患者的病例,该患者出现社区获得性肺炎;继而发生急性呼吸衰竭伴脓毒症,需要入住重症监护病房、进行机械通气并给予血管升压药。致病微生物被鉴定为 ,对多种药物敏感。有效实施了管理措施;临床、生物学和影像学均有改善,患者后来接受环丙沙星治疗出院;此后病情持续改善。这是我们地区首例报告的社区获得性肺炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d597/8056432/612aa786d79e/gr1.jpg

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