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多微生物性骨髓炎背景下的蒂西埃拉菌血症

Tissierella Bacteremia in the Setting of Polymicrobial Osteomyelitis.

作者信息

Griffith Emma M, Patel Hamel, Seeram Vandana

机构信息

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Pulmonary and Critical Care Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

出版信息

Cureus. 2024 Nov 22;16(11):e74230. doi: 10.7759/cureus.74230. eCollection 2024 Nov.

DOI:10.7759/cureus.74230
PMID:39717311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11663619/
Abstract

We present a case of bacteremia in the setting of polymicrobial osteomyelitis. is a Gram-variable bacterium that has been rarely documented as the etiologic organism in human infections such as septic arthritis or otitis media, and even more rarely reported as an organism associated with bacteremia. The patient presented with septic shock and the physical exam was notable for gangrene of bilateral feet. Infectious workup was significant for acute osteomyelitis and septic arthritis of his feet in the setting of bacteremia which was successfully treated with piperacillin-tazobactam and then metronidazole in addition to surgical resection of the feet.

摘要

我们报告一例多微生物性骨髓炎并发菌血症的病例。[细菌名称]是一种革兰氏染色可变的细菌，很少被记录为人类感染（如化脓性关节炎或中耳炎）的病原体，更罕见的是被报道为与菌血症相关的病原体。该患者出现感染性休克，体格检查发现双足坏疽。感染性检查显示，在菌血症背景下，患者足部患有急性骨髓炎和化脓性关节炎，通过哌拉西林 - 他唑巴坦，随后加用甲硝唑，同时对足部进行手术切除，成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dc6/11663619/2a642546094e/cureus-0016-00000074230-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dc6/11663619/8e4c03122b87/cureus-0016-00000074230-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dc6/11663619/2a642546094e/cureus-0016-00000074230-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dc6/11663619/8e4c03122b87/cureus-0016-00000074230-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dc6/11663619/2a642546094e/cureus-0016-00000074230-i02.jpg

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本文引用的文献

1
Tissierella Praeacuta Infection in the Setting of Chronic Sacral Wounds.慢性骶部伤口背景下的急性前蒂西埃拉菌感染
Cureus. 2022 Apr 1;14(4):e23745. doi: 10.7759/cureus.23745. eCollection 2022 Apr.
2
bacteremia, a rare complication of osteomyelitis.菌血症，骨髓炎的一种罕见并发症。
IDCases. 2022 Jan 27;27:e01425. doi: 10.1016/j.idcr.2022.e01425. eCollection 2022.
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The Clinical Utility of Two High-Throughput 16S rRNA Gene Sequencing Workflows for Taxonomic Assignment of Unidentifiable Bacterial Pathogens in Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry.
两种高通量 16S rRNA 基因测序工作流程在基质辅助激光解吸电离飞行时间质谱技术中对无法识别的细菌病原体进行分类鉴定的临床实用性。
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Seven Versus 14 Days of Antibiotic Therapy for Uncomplicated Gram-negative Bacteremia: A Noninferiority Randomized Controlled Trial.单纯革兰氏阴性菌菌血症患者接受 7 天与 14 天抗生素治疗的对比：一项非劣效性随机对照试验。
Clin Infect Dis. 2019 Sep 13;69(7):1091-1098. doi: 10.1093/cid/ciy1054.
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Recent Advances and Ongoing Challenges in the Diagnosis of Microbial Infections by MALDI-TOF Mass Spectrometry.基质辅助激光解吸电离飞行时间质谱在微生物感染诊断中的最新进展与持续挑战
Front Microbiol. 2018 May 29;9:1097. doi: 10.3389/fmicb.2018.01097. eCollection 2018.
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Clostridium hastiforme bacteraemia secondary to pyometra in a 64-year-old woman.一名64岁女性因子宫积脓继发哈氏梭菌血症。
BMJ Case Rep. 2017 Jan 18;2017:bcr2016218084. doi: 10.1136/bcr-2016-218084.
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Infections caused by Tissierella praeacuta: A report of two cases and literature review.短小蒂西埃菌引起的感染：两例报告及文献综述
Anaerobe. 2016 Aug;40:15-7. doi: 10.1016/j.anaerobe.2016.04.015. Epub 2016 Apr 22.
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The impact of bacteremia on the outcome of bone infections.菌血症对骨感染结局的影响。
Med Mal Infect. 2014 Aug;44(8):380-6. doi: 10.1016/j.medmal.2014.07.013. Epub 2014 Aug 26.
9
Multilocus analysis reveals diversity in the genus Tissierella: description of Tissierella carlieri sp. nov. in the new class Tissierellia classis nov.多位点分析揭示蒂斯耶拉菌属的多样性：新类蒂斯耶拉类中新种卡利耶尔蒂斯耶拉菌的描述。
Syst Appl Microbiol. 2014 Feb;37(1):23-34. doi: 10.1016/j.syapm.2013.09.007. Epub 2013 Nov 20.
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Phylogenetic evidence that the gram-negative nonsporulating bacterium Tissierella (Bacteroides) praeacuta is a member of the Clostridium subphylum of the gram-positive bacteria and description of Tissierella creatinini sp. nov.系统发育学证据表明革兰氏阴性无芽孢细菌前锐氏拟杆菌（拟杆菌属）是革兰氏阳性菌梭菌亚门的成员，并对肌酐蒂氏菌新种进行描述
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