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导致一名从亚速尔群岛归来的旅行者出现播散性软组织和肺脓肿。

causing disseminated soft tissue and pulmonary abscesses in a traveller returning from the Azores.

作者信息

Chowdhury Melissa, Lee Nathaniel, Wey Emmanuel Q

机构信息

Royal Free Hospital, Royal Free Foundation NHS Foundation Trust, London, UK.

Centre for Clinical Microbiology, Division of Infection and Immunity University College London, London, UK.

出版信息

Access Microbiol. 2021 Aug 12;3(8):000251. doi: 10.1099/acmi.0.000251. eCollection 2021.

Abstract

This case report describes a 30-year-old male patient presenting with cutaneous lesions who develops a subsequent bacteraemia, complicated by soft tissue and pulmonary abscesses. disease is a rare infection that can manifest in a spectrum from cutaneous lesions to disseminated disease and sepsis, the latter associated with high mortality. Although in the available literature there is a recommendation for a prolonged antibiotic course, we describe effective management with a shorter course of antibiotics. This case highlights the importance of not only considering a diagnosis of if there has been a high risk and appropriate exposure, but to also consider the changing epidemiology of the organism due to certain geographical areas becoming warmer due to climate change.

摘要

本病例报告描述了一名30岁男性患者,该患者出现皮肤病变,随后发生菌血症,并伴有软组织和肺脓肿并发症。该疾病是一种罕见的感染,可表现为从皮肤病变到播散性疾病和败血症的一系列症状,后者与高死亡率相关。尽管现有文献建议采用延长疗程的抗生素治疗,但我们描述了采用较短疗程抗生素的有效治疗方法。该病例强调了不仅在存在高风险和适当暴露时要考虑诊断该疾病,而且还要考虑由于气候变化某些地理区域变暖导致该病原体流行病学变化的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/8650846/433dbdaa0b7c/acmi-3-0251-g001.jpg

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