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三级医疗中心木糖氧化无色杆菌菌血症的出现:一例病例报告及文献综述

Emergence of Achromobacter xylosoxidans Bacteremia in a Tertiary Care Center: A Case Report and Literature Review.

作者信息

Dhakshna Murthi Karthiga, Naik Swetha, Arumugam Shanmuga Leela, J Manonmoney, Kv Leela

机构信息

Microbiology, SRM Medical College Hospital and Research Centre, Kanchipuram, IND.

出版信息

Cureus. 2024 Aug 29;16(8):e68084. doi: 10.7759/cureus.68084. eCollection 2024 Aug.

Abstract

is an opportunistic pathogen that is responsible for various nosocomial and community-acquired infections. It is often found in patients with cystic fibrosis or chronic lung diseases. Here, a 70-year-old female patient presented to an emergency department with complaints of diffuse abdominal pain and distension, on and off giddiness, and generalized body pain for one month with a known case of diabetes and hypertension. The patient had no history of nausea, vomiting, constipation/loose stools, or fever at the time of arrival. Then, the patient was admitted with a provisional diagnosis of incisional hernia. However, the patient developed a fever after she had undergone surgery for an incisional hernia. The blood culture reveals the growth of The patient responded well to treatment with intravenous antibiotics piperacillin/tazobactam and meropenem for five days. The literature on bacteremia caused by  in incisional hernia patients is reviewed in this study, along with the distinct antimicrobial susceptibility pattern.

摘要

是一种机会致病菌,可导致各种医院获得性感染和社区获得性感染。它常出现在囊性纤维化或慢性肺部疾病患者中。在此,一名70岁女性患者因弥漫性腹痛、腹胀、阵发性头晕和全身疼痛一个月就诊于急诊科,该患者已知患有糖尿病和高血压。患者入院时无恶心、呕吐、便秘/腹泻或发热病史。随后,该患者被初步诊断为切口疝并入院。然而,该患者在接受切口疝手术后出现发热。血培养显示 生长。患者接受静脉注射抗生素哌拉西林/他唑巴坦和美罗培南治疗五天后反应良好。本研究回顾了切口疝患者由 引起的菌血症的文献,以及独特的抗菌药敏模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/921a/11437518/98426364e874/cureus-0016-00000068084-i01.jpg

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