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短肠综合征女性患者的导管相关血流感染

: Catheter-Related Bloodstream Infection in a Woman With Short Bowel Syndrome.

作者信息

Kølle Ida Saksenborg, Vinter-Jensen Lars, Nielsen Morten Eneberg, Nielsen Hans Linde

机构信息

Department of Gastroenterology and Hepatology Aalborg University Hospital Aalborg Denmark.

Department of Clinical Medicine Aalborg University Aalborg Denmark.

出版信息

Clin Case Rep. 2025 Jan 10;13(1):e70103. doi: 10.1002/ccr3.70103. eCollection 2025 Jan.

Abstract

, a member of the Erwiniaceae family, is a rarely reported human pathogen primarily associated with plants. This study presents a documented case of catheter-related bloodstream infection caused by in a 60-year-old female receiving home parenteral nutrition. Despite presenting with only minor clinical symptoms, blood cultures from both central and peripheral sites confirmed the presence of , identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and whole-genome sequencing. The infection was successfully cleared following a 13-day course of gentamicin lock therapy and intravenous piperacillin-tazobactam, after which the catheter was removed.

摘要

欧文氏菌科的成员,是一种很少被报道的主要与植物相关的人类病原体。本研究报告了一例由其引起的导管相关血流感染病例,患者为一名60岁接受家庭肠外营养的女性。尽管仅表现出轻微的临床症状,但通过基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS)和全基因组测序,从中枢和外周部位采集的血培养物均证实了该菌的存在。在进行了13天的庆大霉素封管治疗和静脉注射哌拉西林-他唑巴坦后,感染成功清除,之后拔除了导管。

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