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免疫功能正常女性继发于龋齿罗氏菌的深部颈部蜂窝织炎、肌炎和反应性淋巴结炎:一例报告

Deep Neck Cellulitis, Myositis, and Reactive Lymphadenitis Secondary to Rothia dentocariosa in an Immunocompetent Female: A Case Report.

作者信息

Delgadillo Blake E, Potesta Mark A, Guld Emma E, Federico Justin R

机构信息

Orthopedic Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Internal Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

出版信息

Cureus. 2024 Aug 6;16(8):e66300. doi: 10.7759/cureus.66300. eCollection 2024 Aug.

Abstract

is a commensal organism that is typically found in the oropharyngeal and respiratory tracts, and it typically possesses a low virulence profile, especially for immunocompetent patients. The case presented here represents an extremely rare case of deep neck cellulitis, myositis, and reactive lymphadenitis secondary to in an immunocompetent female. A 35-year-old female with no significant past medical history presented to the emergency department with neck pain with reduced range of motion, fever, chills, sinus congestion, and headache for one day. After a thorough workup, blood cultures grew in the days following admission The patient subsequently recovered without any notable sequelae after proper antibiotic treatment. Since species are currently considered a low-virulence organism that typically causes endocarditis in immunocompromised hosts, this case should serve as a reference for its possible virulence level in immunocompetent hosts. In spite of this organism's pathological rarity, this case highlights the importance of understanding the microbiology, historical context, and treatment for   as a cause for deep neck cellulitis, myositis, and reactive lymphadenitis.

摘要

是一种共生生物,通常存在于口咽和呼吸道,其毒力通常较低,尤其是对免疫功能正常的患者。本文介绍的病例是一例免疫功能正常的女性继发于深颈部蜂窝织炎、肌炎和反应性淋巴结炎的极其罕见的病例。一名无重大既往病史的35岁女性因颈部疼痛、活动范围减小、发热、寒战、鼻窦充血和头痛一天就诊于急诊科。经过全面检查,入院后数天血培养生长出该菌。患者经适当抗生素治疗后随后康复,无任何明显后遗症。由于该菌种目前被认为是一种低毒力生物,通常在免疫功能低下的宿主中引起心内膜炎,该病例应为其在免疫功能正常宿主中可能的毒力水平提供参考。尽管这种生物在病理学上很罕见,但该病例凸显了了解该菌作为深颈部蜂窝织炎、肌炎和反应性淋巴结炎病因的微生物学、历史背景和治疗方法的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aab/11375955/1bea2e190115/cureus-0016-00000066300-i01.jpg

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