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鼠咬热:摆脱血流感染典型病例的困扰

Rat-bite fever: Taking the bite out of a textbook case of blood stream infection.

作者信息

Matthews Courtney, Ausman Sara

机构信息

Mayo Clinic Health System, Department of Pharmacy, 1221 Whipple Street, Eau Claire, WI, United States.

出版信息

IDCases. 2021 Jun 16;25:e01199. doi: 10.1016/j.idcr.2021.e01199. eCollection 2021.

Abstract

Increasing popularity of rats as domestic pets and continued use of rodents in scientific laboratories has contributed to a notable increase in reported cases of rat-bite fever caused by in the United States. is a gram-negative filamentous bacterium that is a commensal bacterium found in the nasopharyngeal tract of rats. This is a case of a young male developing rat-bite fever bacteremia without a known bite from a rat, but with incidental contact with oral secretions. The patient developed significant debilitating symptoms including migratory polymyalgias and demonstrated complete recovery after treatment with ceftriaxone.

摘要

作为家庭宠物的大鼠越来越受欢迎,以及啮齿动物在科学实验室中的持续使用,导致美国报告的由[细菌名称未给出]引起的鼠咬热病例显著增加。[细菌名称未给出]是一种革兰氏阴性丝状细菌,是在大鼠鼻咽部发现的共生细菌。这是一例年轻男性在没有已知大鼠咬伤但有偶然接触口腔分泌物的情况下发生鼠咬热菌血症的病例。患者出现了包括游走性多肌痛在内的严重衰弱症状,并在接受头孢曲松治疗后完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7bc/8220250/d9d381ddd9a7/gr1.jpg

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