Benson Charles E, Tatem Luis
Infectious Diseases, State University of New York Downstate Medical Center, New York, USA.
Cureus. 2021 Jun 28;13(6):e16004. doi: 10.7759/cureus.16004. eCollection 2021 Jun.
is a large genus that is not often involved in pathogenesis, however, since 1991 there have been several case reports of -associated illness, most often due to bacteremia in the setting of an immunocompromised patient with a central venous catheter (CVC). Here we detail the case of an elderly woman with many comorbidities and a peripherally inserted central catheter (PICC) line for over four years, who presented with septic shock and bacteremia. In nearly all previous cases of bacteremia it was thought to be due to a CVC which was removed as part of the treatment in conjunction with antibiotics. In this case, the patient was treated with empiric antibiotics and her blood cultures cleared within 48 hours without catheter removal or antibiotic-lock therapy. The clinical outcome was favorable at 50 days follow-up.
是一个大属，通常不参与发病机制，然而，自1991年以来，有几例与相关疾病的病例报告，最常见的是免疫功能低下且带有中心静脉导管（CVC）的患者发生菌血症。在此，我们详细介绍一例患有多种合并症且外周置入中心静脉导管（PICC）超过四年的老年女性病例，该患者出现感染性休克和菌血症。在几乎所有先前的菌血症病例中，都认为是由CVC引起的，作为治疗的一部分，CVC会与抗生素一起被拔除。在本病例中，患者接受了经验性抗生素治疗，其血培养在48小时内转阴，未拔除导管或进行抗生素封管治疗。在50天的随访中，临床结果良好。
