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免疫功能低下患者中心导管相关支气管戈登菌血症:一例报告及文献综述

Central catheter-related Gordonia bronchialis bacteremia in an immunocompromised patient: A case report, and literature review.

作者信息

Alnajjar Mohammed, Mudawi Deena, Cherif Honar, Hashim Samar Mahmoud, Zaqout Ahmed, Bougaila Amina, Jibril Farah Imadeldden, Mohamed Shehab Fareed

机构信息

Division of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.

Division of Hematology, National Center for Cancer Care and Research (NCCCR), Doha, Qatar.

出版信息

IDCases. 2023 Mar 6;32:e01738. doi: 10.1016/j.idcr.2023.e01738. eCollection 2023.

Abstract

Gordonia is a rarely reported organism causing central line-associated bloodstream infection (CLABSI). This article reports an acute myeloid leukemia (AML) case in which the patient developed febrile neutropenia and was later found to have Gordonia bronchialis (G. bronchialis) CLABSI. The patient received a two-week ceftriaxone regimen, based on susceptibility. The microbiologic diagnosis of this organism is considered challenging due to its resemblance with other organisms; however, more sophisticated methods of diagnosis (such as gene sequencing) can aid in differentiation.

摘要

戈登氏菌是一种引起中心静脉导管相关血流感染(CLABSI)的罕见病原体。本文报告了一例急性髓系白血病(AML)病例,该患者出现发热性中性粒细胞减少症,后来被发现患有支气管戈登氏菌(G. bronchialis)CLABSI。根据药敏结果,患者接受了为期两周的头孢曲松治疗方案。由于该病原体与其他病原体相似,其微生物学诊断具有挑战性;然而,更先进的诊断方法(如基因测序)有助于鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5d/10014288/20d442f25cde/gr1.jpg

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