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一株嗜沫短小杆菌致小儿脓毒性肺栓塞 1 例

A Pediatric Case of Septic Pulmonary Embolism Caused by Tsukamurella paurometabola.

机构信息

Department of Infection Control and Prevention, Mie University Hospital, Japan.

Department of Infectious Disease, Mie University Hospital, Japan.

出版信息

Intern Med. 2023 Oct 15;62(20):3069-3073. doi: 10.2169/internalmedicine.1444-22. Epub 2023 Mar 8.

Abstract

We herein report a three-year-old boy with septic pulmonary embolism caused by Tsukamurella paurometabola bacteremia during chemotherapy for rhabdomyosarcoma. During the interval of chemotherapy, the patient was temporarily discharged with a peripherally inserted central venous catheter but was re-admitted to the hospital with a fever on the same day. A blood culture taken at the time of re-admission showed T. paurometabola. The patient had a persistent fever, and computed tomography performed on the ninth day showed septic pulmonary embolism. We stress the importance of being aware of the possibility of septic pulmonary embolism in patients with Tsukamurella bacteremia.

摘要

我们在此报告一例三岁男孩,在横纹肌肉瘤化疗期间因贪噬密螺旋体菌血症导致脓毒性肺栓塞。在化疗间歇期,患者带外周静脉中心置管暂时出院,但当天因发热再次入院。再次入院时的血培养显示贪噬密螺旋体菌。患者持续发热,第九天的计算机断层扫描显示脓毒性肺栓塞。我们强调,在贪噬密螺旋体菌血症患者中,要意识到发生脓毒性肺栓塞的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06c9/10641193/8b7c11f58ad6/1349-7235-62-3069-g001.jpg

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