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赫氏草螺菌引起的感染性休克和菌血症:一例报告及文献复习

Septic Shock and Bacteremia Secondary to Herbaspirillum huttiense: A Case Report and Review of Literature.

作者信息

Ruiz de Villa Ariel, Alok Akankcha, Oyetoran Anuoluwa E, Fabara Stephanie P

机构信息

Internal Medicine, Hospital Corporation of America (HCA) & University of Central Florida (UCF) College of Medicine, North Florida Regional Medical Center, Gainesville, USA.

出版信息

Cureus. 2023 Mar 14;15(3):e36155. doi: 10.7759/cureus.36155. eCollection 2023 Mar.

Abstract

The species are gram-negative bacteria that inhabit soil and water. Infections caused by this pathogen are an uncommon clinical entity. We describe a rare case of septic shock and bacteremia caused by in an immunocompetent adult female. The patient, a 59-year-old female, presented to the hospital with circulatory shock, fever, chills, and cough. Chest x-ray revealed right lower lobe lung consolidation consistent with pneumonia, and blood cultures with a positive concerning gram-negative curved rod which was later identified as . The patient was treated in the ICU for three days with cefepime and vasoactive agents. After improvement and an additional seven days of hospitalization, the patient was discharged home with a five-day course of oral levofloxacin. Although our patient responded well to cefepime and levofloxacin, meropenem and piperacillin-tazobactam were found to be the most commonly used and the most effective antibiotics to treat infections in other reported cases. This is amongst the few reported cases of  bacteremia in an immunocompetent individual with pneumonia.

摘要

这些菌种是栖息于土壤和水中的革兰氏阴性菌。由这种病原体引起的感染是一种不常见的临床病症。我们描述了一例在免疫功能正常的成年女性中由[病原体名称未给出]引起的感染性休克和菌血症的罕见病例。该患者为一名59岁女性,因循环性休克、发热、寒战和咳嗽入院。胸部X光显示右下叶肺部实变,符合肺炎表现,血培养发现革兰氏阴性弯曲杆菌阳性,该菌后来被鉴定为[病原体名称未给出]。患者在重症监护病房接受了三天的头孢吡肟和血管活性药物治疗。病情好转并额外住院七天后,患者出院回家,接受为期五天的口服左氧氟沙星治疗。尽管我们的患者对头孢吡肟和左氧氟沙星反应良好,但在其他报道的病例中,美罗培南和哌拉西林-他唑巴坦被发现是治疗[病原体名称未给出]感染最常用且最有效的抗生素。这是少数几例关于免疫功能正常个体发生[病原体名称未给出]菌血症并伴有肺炎的报道病例之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e1/10101756/1f7d3136289a/cureus-0015-00000036155-i01.jpg

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