Pan Su-Fei, Zhang Yuan-Yuan, Wang Xiao-Zhen, Sun Jing-Jing, Song Shao-Ling, Tang Yu-Rong, Wang Ji-Liang
Department of Laboratory Medicine, Shengli Oilfield Central Hospital, Dongying 257034, Shandong Province, China.
World J Clin Cases. 2022 May 26;10(15):5082-5087. doi: 10.12998/wjcc.v10.i15.5082.
() is a rapidly growing mycobacterium and ubiquitous in the environment, which infrequently causes disease in humans. However, it can cause cutaneous or respiratory infections among immunocompromised hosts. Due to the resistance to most antibiotics, the pathogen is formidable and difficult-to-treat.
Here, we present a case of catheter-related infections in a patient with motor neurone disease. Catheter and peripheral blood cultures of the patient showed positive results during Gram staining and acid-fast staining. The alarm time of catheter blood culture was 10.6 h earlier than that of peripheral blood. After removal of the peripherally inserted central catheter, secretion and catheter blood culture were positive. was identified by matrix-assisted laser desorption ionization-time of flight mass spectrometry and 16S rDNA sequencing.
For catheter-related infection, rapid diagnosis and timely and adequate antimicrobial therapy are crucial.
()是一种快速生长的分枝杆菌,在环境中普遍存在,很少在人类中引起疾病。然而,它可在免疫功能低下的宿主中引起皮肤或呼吸道感染。由于对大多数抗生素耐药,该病原体难以对付且难以治疗。
在此,我们报告一例运动神经元病患者的导管相关感染病例。患者的导管和外周血培养在革兰氏染色和抗酸染色期间显示阳性结果。导管血培养的报警时间比外周血早10.6小时。拔除外周置入中心静脉导管后,分泌物和导管血培养均为阳性。通过基质辅助激光解吸电离飞行时间质谱和16S rDNA测序鉴定出()。
对于导管相关的()感染,快速诊断以及及时、充分的抗菌治疗至关重要。