Department of Critical Obstetrics, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.
Department of Intensive Care Unit, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.
BMC Pregnancy Childbirth. 2021 Oct 30;21(1):737. doi: 10.1186/s12884-021-04214-5.
Ralstonia mannitolilytica, a newly emerging opportunistic pathogen worldwide, has been reported to be responsible for human pneumonia, septicemia and meningitis. This is the first report of a case of Ralstonia mannitolilytica sepsis after elective cesarean delivery.
A 25-year-old woman, gravida 1 para 0, was scheduled for an elective cesarean delivery at 39 weeks of gestation. Sudden high fever and decreased blood pressure occurred a short time after the operation. Ralstonia mannitolilytica was identified in her blood culture 5 days after the operation. Based on the presence of sepsis and septic shock, massive fluid replacement, blood transfusion, vasoactive agents, imipenem/cilastatin and cefoperazone sulbactam sodium were applied. She was discharged after intensive care without complications.
Although the incidence of sepsis due to Ralstonia mannitolilytica is relatively low, once infection occurs in a puerpera, severe symptoms develop abruptly. Thus, prompt diagnosis and appropriate treatment are key to the cure.
曼尼希养单胞菌是一种新出现的全球机会性病原体，已被报道可导致人类肺炎、败血症和脑膜炎。这是首例择期剖宫产术后曼尼希养单胞菌败血症的报告。
一名 25 岁的妇女，初产妇，妊娠 1 产 0，孕 39 周时行择期剖宫产术。术后短时间内突发高热和低血压。术后 5 天，其血培养鉴定出曼尼希养单胞菌。鉴于存在败血症和感染性休克，给予大量液体复苏、输血、血管活性药物、亚胺培南/西司他丁钠和头孢哌酮舒巴坦钠治疗。经重症监护治疗后，患者无并发症出院。
尽管曼尼希养单胞菌引起的败血症发病率相对较低，但一旦产妇发生感染，病情会迅速恶化。因此，及时诊断和适当治疗是治愈的关键。
