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蜂窝织炎:病例报告与简要综述

cellulitis: case report and mini-review.

作者信息

Coen Matteo, Foulex Aurélie, Bagetakos Ilias, Cherkaoui Abdessalam, Serratrice Jacques, Schrenzel Jacques, Iten Anne

机构信息

Service of Internal Medicine, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.

University of Geneva, Faculty of Medicine, Unit of Development and Research in Medical Education (UDREM), Geneva, Switzerland.

出版信息

New Microbes New Infect. 2024 Oct 10;62:101502. doi: 10.1016/j.nmni.2024.101502. eCollection 2024 Dec.

Abstract

BACKGROUND

is a gram-negative, non-fermentative, oxidase-positive, catalase-positive bacillus. has been identified in urinary tract infections, respiratory tract infections, spontaneous peritonitis, septic arthritis, meningitis, bacteraemia and septic shock. Ours is the second case of skin and soft tissue infection sustained by (a case of necrotizing fasciitis with septic shock has been previously reported). In this paper, we furnish a review of the literature on all the cases of described in the medical literature (with the different antimicrobial susceptibility profiles for each case).

CASE PRESENTATION

We describe the case of a dermo-hypodermitis of the right arm, forearm, and postero-lateral abdominal wall sustained by . The infection occurred in an 84-year-old woman with a medical history of type 2 diabetes, chronic kidney disease, and refractory psoriatic arthritis treated with tocilizumab.

DISCUSSION

is a ubiquitous gram-negative bacillus, characterized by a variable antibiotic susceptibility profile that is difficult to anticipate.

CONCLUSION

is an opportunistic pathogen capable of causing rare but potentially severe infections in patients of all age groups, with a higher prevalence in immunocompromised individuals, as observed in our case.".

摘要

背景

[细菌名称]是一种革兰氏阴性、非发酵、氧化酶阳性、过氧化氢酶阳性的杆菌。已在尿路感染、呼吸道感染、自发性腹膜炎、败血症性关节炎、脑膜炎、菌血症和感染性休克中被鉴定出来。我们的病例是第二例由[细菌名称]引起的皮肤和软组织感染(此前曾报道过一例伴有感染性休克的坏死性筋膜炎病例)。在本文中,我们对医学文献中描述的所有[细菌名称]病例的文献进行了综述(每个病例具有不同的抗菌药物敏感性谱)。

病例介绍

我们描述了一例由[细菌名称]引起的右臂、前臂和腹壁后外侧皮肤及皮下组织炎症的病例。该感染发生在一名84岁女性身上,她有2型糖尿病、慢性肾病病史,且因难治性银屑病关节炎接受托珠单抗治疗。

讨论

[细菌名称]是一种普遍存在的革兰氏阴性杆菌,其抗生素敏感性谱多变,难以预测。

结论

[细菌名称]是一种机会致病菌,能够在所有年龄组的患者中引起罕见但可能严重的感染,如我们的病例所示,在免疫功能低下的个体中患病率更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b1/11525143/05e9d9526b11/gr1.jpg

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