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一例罕见的急性前蒂西埃菌血症合并下肢蜂窝织炎病例。

A Rare Case of Tissierella praeacuta Bacteremia in the Context of Lower Extremity Cellulitis.

作者信息

Kumar Gopal, Iqbal Sahar, Raja Fnu, Antoine-Reid Thessicar

机构信息

Pathology, MetroHealth Medical Center, Cleveland, USA.

Pathology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, USA.

出版信息

Cureus. 2024 Nov 30;16(11):e74843. doi: 10.7759/cureus.74843. eCollection 2024 Nov.

Abstract

()is a gram-variable obligate anaerobe. In this case report, we describe the first documented case of bacteremia in a patient with sepsis resulting from lower extremity cellulitis without concomitant osteomyelitis. During the inpatient course, the patient was treated with IV vancomycin, cefepime, and ertapenem, in addition to surgical debridement and incision and drainage of his foot wound. The patient was discharged to a skilled care nursing facility on ertapenem with significant clinical improvement.

摘要

()是一种革兰氏染色可变的专性厌氧菌。在本病例报告中,我们描述了首例有记录的因下肢蜂窝织炎导致败血症且无并发骨髓炎的患者发生菌血症的病例。在住院期间,除了对患者足部伤口进行手术清创、切开引流外,还给予静脉注射万古霉素、头孢吡肟和厄他培南治疗。患者出院后转至专业护理机构,继续使用厄他培南治疗,临床症状有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19d7/11684548/ac3f21486875/cureus-0016-00000074843-i01.jpg

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