Keren G, Tyrrel D L
Division of Pediatrics, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Int J Pediatr Nephrol. 1987 Apr-Jun;8(2):91-4.
The role of urologic disease and manipulation of the genito-urinary tract in the pathogenesis of gram-negative bacteremia has been long recognized. Among these organisms, species of providencia genus have been increasingly reported. We describe a 17-year-old male paraplegic who developed septic shock due to Providencia Stuartii following urinary tract manipulation and responding to medical therapy. This is unusual as most cases with septic shock from providencia species will succumb. It is important to review this case since providencia species appear to be increasingly common in paraplegic patients.
泌尿生殖系统疾病及对泌尿生殖道的操作在革兰氏阴性菌血症发病机制中的作用早已得到认可。在这些微生物中，普罗威登斯菌属的菌种报告越来越多。我们描述了一名17岁的男性截瘫患者，他在尿路操作后因斯氏普罗威登斯菌感染而发生感染性休克，并对药物治疗有反应。这很不寻常，因为大多数由普罗威登斯菌属引起感染性休克的病例都会死亡。鉴于普罗威登斯菌属在截瘫患者中似乎越来越常见，回顾此病例很重要。
