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B族链球菌持续定植于肺腺鳞癌:因祸得福?

Group B Streptococcus Persistently Colonizing the Adenosquamous Carcinoma of the Lung: A Blessing in Disguise?

作者信息

Rashid Muhammad Humayoun, Habib Tehmina, Bukhari Syeda Neelam Yamin, Riaz Faiqa, Kolman-Taddeo Diana

机构信息

Internal Medicine, Capital Health Regional Medical Center, Trenton, USA.

Internal Medicine, Nishtar Medical University, Multan, PAK.

出版信息

Cureus. 2024 Apr 1;16(4):e57377. doi: 10.7759/cureus.57377. eCollection 2024 Apr.

Abstract

(GBS), also known as , is a gram-negative, beta-hemolytic facultative anaerobe that causes neonatal pneumonia and sepsis. The neoplastic epithelial cells in adults, especially those of squamous origin, can show special adhesive properties toward GBS, which tends to reside within these tumors. There are some animal and human studies proving this association. Here, we present a 64-year-old female patient who had lung carcinoma of mixed adeno and squamous origin found to have persistent GBS every time the bronchoscopy was done for tumor ablation or cryotherapy. Subsequently, after starting her on chemo-radiotherapy, she also presented with multiple episodes of pneumonia caused by GBS and Moreover, many animal studies have shown the anti-tumor properties of GBS toxin that can prevent its metastasis and stop vascular growth surrounding the tumor. This property of GBS toxin can prove a blessing in disguise.

摘要

B族链球菌(GBS),也称为[具体名称未给出],是一种革兰氏阴性、β溶血性兼性厌氧菌,可导致新生儿肺炎和败血症。成人体内的肿瘤上皮细胞,尤其是鳞状上皮来源的细胞,可对GBS表现出特殊的黏附特性,GBS往往存在于这些肿瘤内。有一些动物和人体研究证实了这种关联。在此,我们报告一名64岁女性患者,她患有腺鳞混合性肺癌,每次因肿瘤消融或冷冻治疗进行支气管镜检查时均发现持续存在GBS。随后,在开始接受放化疗后,她还多次出现由GBS引起的肺炎,此外,许多动物研究表明GBS毒素具有抗肿瘤特性,可防止肿瘤转移并阻止肿瘤周围血管生长。GBS毒素的这一特性可能会带来意想不到的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e3/11061868/a07c342371bb/cureus-0016-00000057377-i01.jpg

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