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一名皮肤和软组织感染患者的菌血症。病例报告及文献综述。

bacteremia in a patient with skin and soft tissue infection. A case report and literature review.

作者信息

Papapanagiotou Michalis, Ioannou Petros, Alexakis Konstantinos, Maraki Sofia, Papadokostaki Eleni, Kofteridis Diamantis P

机构信息

Department of Internal Medicine, University Hospital of Heraklion, Heraklion, Greece.

School of Medicine, University of Crete, Heraklion, Greece.

出版信息

Infez Med. 2023 Sep 1;31(3):399-403. doi: 10.53854/liim-3103-14. eCollection 2023.

Abstract

is a beta-hemolytic species arranged in short chains, which was first described in 2006. In the last years, there have been several reports of human infections by this bacterium, with five skin and soft tissue infections identified. Herein, a case of skin and soft tissue infection in a patient, who also developed bacteremia and was successfully treated with intravenous antibiotics, is reported. A 67-year-old man with a history of diffuse large B-cell lymphoma presented to the emergency department because of fever, redness, swelling, and pain in the left lower limb. He was admitted to the medical ward, diagnosed with severe non-purulent skin and soft tissue infection, and treated empirically with intravenous piperacillin/tazobactam at 4.5 gr thrice daily and daptomycin at 10mg/kg once daily. Blood cultures were obtained before the initiation of the antibiotics and grew Treatment was de-escalated to ceftriaxone at a dose of 2 gr once daily. He completed two weeks of intravenous antimicrobial treatment. is an emerging pathogen associated with skin and soft tissue infections, bacteremia, and other invasive, potentially life-threatening infections. Further investigation is warranted to clarify this microorganism's pathogenesis and biological significance.

摘要

是一种呈短链排列的β溶血性菌种,于2006年首次被描述。在过去几年中,已有数例该细菌感染人类的报告,其中确诊了5例皮肤和软组织感染。在此,报告一例患者的皮肤和软组织感染病例,该患者还发生了菌血症,经静脉使用抗生素成功治疗。一名有弥漫性大B细胞淋巴瘤病史的67岁男性因左下肢发热、发红、肿胀和疼痛就诊于急诊科。他被收入内科病房,诊断为严重非化脓性皮肤和软组织感染,并经验性地静脉使用哌拉西林/他唑巴坦4.5克,每日三次,以及达托霉素10毫克/千克,每日一次。在开始使用抗生素之前进行了血培养,培养结果为……治疗方案降级为头孢曲松,剂量为2克,每日一次。他完成了两周的静脉抗菌治疗。是一种与皮肤和软组织感染、菌血症以及其他侵袭性、潜在危及生命的感染相关的新兴病原体。有必要进一步研究以阐明这种微生物的发病机制和生物学意义。

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Eur J Ophthalmol. 2023 May;33(3):NP66-NP69. doi: 10.1177/11206721221085210. Epub 2022 Apr 4.
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5
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6
Extensive Cellulitis and Bacteremia Due to Streptococcus Pseudoporcinus in a Child With Klippel-Trenaunay Syndrome.
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7
Bacteremia because of Streptococcus pseudoporcinus in a Syphilis-HIV co-infected patient: A case report.
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8
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