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一例采用多学科方法成功治疗的感染病例。

A Case of Infection Successfully Treated With a Multidisciplinary Approach.

作者信息

Foglia Francesco, Ambrosino Annalisa, Greco Giuseppe, Chianese Annalisa, Zannella Carla, Cinone Francesca, Reginelli Alfonso, Giordano Diego Sandro, Tortorella Giovanni, Laieta Maria Teresa, De Filippis Anna, Galdiero Massimiliano, Greco Rita, Finamore Emiliana

机构信息

Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

Case Rep Infect Dis. 2025 Feb 6;2025:6452173. doi: 10.1155/crdi/6452173. eCollection 2025.

DOI:10.1155/crdi/6452173
PMID:39949482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11825202/
Abstract

species constitute a diverse group of microorganisms classified as aerobic actinomyces. Among these species, many have been implicated as causative agents of severe human infections, particularly in immunocompromised patients, affecting lungs, skin, and nervous system. Here, we described a rare species, identified as isolated at the Complex Operative Unit of Virology and Microbiology from the subxiphoid formation and pseudonodular formation in the left leg of a 69-year-old immunocompetent patient, who was hospitalized and treated at the Complex Operative Unit of Internal Medicine and Geriatrics of the University Hospital of Campania "Luigi Vanvitelli" in an antimicrobial diagnostic stewardship context. This rare pathogen was first isolated in 2014 from a bronchoalveolar lavage sample obtained from a lung transplant recipient. Since then, only five cases of clinical interest have been described in literature.

摘要

该物种构成了一类分类为需氧放线菌的多样微生物群体。在这些物种中,许多已被认为是严重人类感染的病原体,特别是在免疫功能低下的患者中,会影响肺部、皮肤和神经系统。在此,我们描述了一种罕见物种,它是从一名69岁免疫功能正常的患者左腿剑突下肿物和假结节肿物中,在病毒学和微生物学综合手术单元分离得到的。该患者在坎帕尼亚大学医院“路易吉·万维泰利”内科和老年病学综合手术单元接受住院治疗,处于抗菌诊断管理背景下。这种罕见病原体于2014年首次从一名肺移植受者的支气管肺泡灌洗样本中分离出来。从那时起,文献中仅描述了5例具有临床意义的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/175f9486f154/CRIID2025-6452173.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/6ab897841c2d/CRIID2025-6452173.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/d517ce5ff1e8/CRIID2025-6452173.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/d57521bcdce1/CRIID2025-6452173.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/175f9486f154/CRIID2025-6452173.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/6ab897841c2d/CRIID2025-6452173.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/d517ce5ff1e8/CRIID2025-6452173.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/d57521bcdce1/CRIID2025-6452173.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11825202/175f9486f154/CRIID2025-6452173.004.jpg

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本文引用的文献

1
A case of isolated during monitoring in an antimicrobial diagnostic stewardship context.在抗菌药物诊断管理背景下监测期间出现的一例孤立病例。
IDCases. 2024 Apr 15;36:e01959. doi: 10.1016/j.idcr.2024.e01959. eCollection 2024.
2
Rapid diagnosis of fatal bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report.通过下一代测序技术快速诊断致死性菌血症性肺炎和脓胸:一例病例报告
Front Med (Lausanne). 2023 Jul 18;10:1226126. doi: 10.3389/fmed.2023.1226126. eCollection 2023.
3
Nocardia caishijiensis infection: a case report and review of the literature.
中华奴卡菌感染:病例报告及文献复习。
BMC Infect Dis. 2023 Apr 6;23(1):218. doi: 10.1186/s12879-023-08186-z.
4
Evidence-Based Treatment of Infections: A Critical Reappraisal.感染的循证治疗:批判性重新评估
Antibiotics (Basel). 2023 Feb 16;12(2):399. doi: 10.3390/antibiotics12020399.
5
Updated Review on Species: 2006-2021.物种更新综述:2006-2021 年。
Clin Microbiol Rev. 2022 Dec 21;35(4):e0002721. doi: 10.1128/cmr.00027-21. Epub 2022 Oct 31.
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Bloodstream infections and antibiotic resistance patterns: a six-year surveillance study from southern Italy.血流感染和抗生素耐药模式:来自意大利南部的一项六年监测研究。
Pathog Glob Health. 2023 Jun;117(4):381-391. doi: 10.1080/20477724.2022.2129161. Epub 2022 Oct 3.
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Primary Lymphocutaneous in an Immunocompetent Host: Case Report and Literature Review.原发性皮肤黏膜淋球菌感染 1 例报告并文献复习。
Medicina (Kaunas). 2022 Mar 28;58(4):488. doi: 10.3390/medicina58040488.
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Unusual presentation of infection in an immunocompetent patient.免疫功能正常患者感染的不寻常表现。
Access Microbiol. 2022 Feb 2;4(2):000308. doi: 10.1099/acmi.0.000308. eCollection 2022.
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Nocardia pituitary abscess in an immunocompetent host.免疫功能正常宿主中的诺卡菌性垂体脓肿
IDCases. 2021 Nov 27;26:e01352. doi: 10.1016/j.idcr.2021.e01352. eCollection 2021.
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Disseminated Nocardia in an Immunocompetent Host.免疫功能正常宿主中的播散性诺卡菌病
Mayo Clin Proc. 2021 Apr;96(4):847-848. doi: 10.1016/j.mayocp.2020.11.019.