Oui Ting Jie, Goh Bee See, Lokman Farah Liana, Kew Thean Yean, Teo Rufinah
Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Radiology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2024 Sep 18;16(9):e69627. doi: 10.7759/cureus.69627. eCollection 2024 Sep.
is notorious for its intrinsic resistance to many commonly used antibiotics, making it a particularly challenging pathogen to treat. It often causes severe opportunistic infections in immunocompromised and hospitalized patients. The potential for this infection to become fulminant with high mortality rates in both adults and children necessitates a multidisciplinary approach. Prompt initiation of appropriate antibiotic therapy can be lifesaving. In this case report, we present a rare instance involving an eight-month-old previously healthy infant diagnosed with necrotizing tonsillitis and a retropharyngeal abscess, which led to upper airway obstruction. Intraoperative tissue cultures identified this highly virulent gram-negative bacillus. The report details the medical and surgical management that resulted in the patient's complete recovery.
因其对许多常用抗生素具有内在抗性而臭名昭著，使其成为一种特别难以治疗的病原体。它经常在免疫功能低下和住院患者中引起严重的机会性感染。这种感染在成人和儿童中都有可能发展为暴发性感染并导致高死亡率，因此需要采取多学科方法。及时开始适当的抗生素治疗可能会挽救生命。在本病例报告中，我们呈现了一个罕见的病例，一名八个月大的此前健康的婴儿被诊断患有坏死性扁桃体炎和咽后脓肿，这导致了上呼吸道阻塞。术中组织培养鉴定出这种高毒力的革兰氏阴性杆菌。该报告详细介绍了导致患者完全康复的医疗和手术管理情况。
