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在血液透析患者中由 引起的导管相关血流感染:病例报告及文献复习。

Catheter-related bloodstream infection due to in a hemodialysis patient: case report and literature review.

机构信息

Department of Internal Medicine, Universidad de la Sabana, Chía, Colombia.

Faculty of Medicine, Universidad de la Sabana, Chía, Colombia.

出版信息

Pan Afr Med J. 2021 Jul 22;39:208. doi: 10.11604/pamj.2021.39.208.30565. eCollection 2021.

Abstract

Acinetobacter ursingii is an anaerobic gram negative opportunistic coccobacillus, rarely isolated in bacteremic patients. It is mainly found in immunocompromised and severely ill patients with no identifiable source of infection. When isolated into the bloodstream, it usually displays resistance to at least two antimicrobial agents. To date only seven cases of bacteremia due to this microorganism have been reported in adults, of which, this accounts for the second one associated to renal replacement therapy and the first case of a documented catheter-related bloodstream infection (CRBSI) in a patient with a hemodialysis catheter. A 78-year-old male presented into the emergency department with acute kidney injury requiring hemodialysis, later developing bacteremia due to Acinetobacter ursingii.

摘要

乌山不动杆菌是一种厌氧革兰阴性机会性病原体,很少从菌血症患者中分离出来。它主要存在于免疫功能低下和病重的患者中,而且通常无法确定感染源。当它进入血液时,通常至少对两种抗菌药物具有耐药性。迄今为止,成人仅报告了 7 例由该微生物引起的菌血症,其中包括与肾脏替代治疗相关的第二例和首例与血液透析导管相关的导管相关血流感染(CRBSI)的病例。一名 78 岁男性因急性肾损伤到急诊科就诊,需要血液透析,后来发展为乌山不动杆菌菌血症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d6d/8464211/86c6d10c9b38/PAMJ-39-208-g001.jpg

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