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星座链球菌所致脓胸表现

Empyema Presentation Secondary to Streptococcus constellatus.

作者信息

Li Anji, Razzak Abrahim N, Patel Milan R, Jha Pinky, Singh Abhijai

机构信息

Medicine, Medical College of Wisconsin, Milwaukee, USA.

Internal Medicine, Medical College of Wisconsin, Milwaukee, USA.

出版信息

Cureus. 2023 Aug 14;15(8):e43468. doi: 10.7759/cureus.43468. eCollection 2023 Aug.

DOI:10.7759/cureus.43468
PMID:37711946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10498997/
Abstract

A 60-year-old male presented to our institution for abdominal pain and was later admitted to the intensive care unit for shock, acute hypoxemic respiratory failure, and acute kidney injury. He was subsequently found to have a large left-sided pleural effusion with empyema secondary to . With the emerging threat and growing prevalence of group pathogens, there is now greater clinical importance in identifying viridans streptococci at the species level. While immunosuppressed individuals are at greater risk of opportunistic pathogens, this case presentation demonstrated that can remain a serious community-acquired pathogen for the non-immunosuppressed. Continued interprofessional team care management and a greater look into the reasons for greater pathogenicity may be indicated.

摘要

一名60岁男性因腹痛前来我院就诊,随后因休克、急性低氧性呼吸衰竭和急性肾损伤被收入重症监护病房。随后发现他左侧有大量胸腔积液并继发脓胸。随着[具体病原体]组病原体的威胁不断出现和患病率不断上升,在物种水平上鉴定草绿色链球菌现在具有更大的临床重要性。虽然免疫抑制个体感染机会性病原体的风险更高,但该病例表明,[具体病原体]对于非免疫抑制个体而言仍然可能是一种严重的社区获得性病原体。可能需要持续的跨专业团队护理管理,并更深入地研究[具体病原体]致病性更强的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/130ca77e441c/cureus-0015-00000043468-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/4927faaaffd6/cureus-0015-00000043468-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/e7f28dd88a97/cureus-0015-00000043468-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/130ca77e441c/cureus-0015-00000043468-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/4927faaaffd6/cureus-0015-00000043468-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/e7f28dd88a97/cureus-0015-00000043468-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/10498997/130ca77e441c/cureus-0015-00000043468-i03.jpg

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Case-control study of pneumonia patients with Streptococcus anginosus group bacteria in their sputum.痰液中含有咽峡炎链球菌群细菌的肺炎患者的病例对照研究。
J Infect Chemother. 2016 Dec;22(12):794-799. doi: 10.1016/j.jiac.2016.08.014. Epub 2016 Sep 25.
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The Importance of Obligate Anaerobes and the Streptococcus anginosus Group in Pulmonary Abscess: A Clone Library Analysis Using Bronchoalveolar Lavage Fluid.专性厌氧菌和咽峡炎链球菌群在肺脓肿中的重要性:一项使用支气管肺泡灌洗流体的克隆文库分析
Respiration. 2016;92(2):80-9. doi: 10.1159/000447976. Epub 2016 Aug 23.
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