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应对一个隐秘的入侵者:来自两个不同病例的见解。

Navigating a stealthy invader: Insights from two different cases.

作者信息

Anders Erica Casey, Miller Stanley

机构信息

Department of Internal Medicine, Edward Via College of Osteopathic Medicine, Carolinas Campus, USA.

出版信息

J Family Med Prim Care. 2025 Jan;14(1):470-472. doi: 10.4103/jfmpc.jfmpc_723_24. Epub 2025 Jan 13.

Abstract

, a gram-positive, beta-hemolytic, catalase-negative member of the group, is a commensal organism within the human body that is known for its propensity to cause severe bacterial infections. This case report presents two distinct cases involving culture-positive infections. The first case involves a 53-year-old man diagnosed with new liver, lung, and brain lesions in the setting of suspected renal cell carcinoma. In the second case, an 84-year-old woman was found to have bacteremia with concurrent culture-positive liver abscesses. These cases illustrate the intricate nature of infections, which may manifest with a diverse spectrum of clinically significant systemic symptoms. Presently, there are no standardized protocols for screening, and subsequently managing, infections. Since has the potential to mimic other infections or pathological conditions, it warrants space on a differential until a negative culture or PCR assay is obtained.

摘要

[细菌名称]是[细菌所属类别]中的革兰氏阳性、β溶血性、过氧化氢酶阴性成员,是人体共生生物,以其引发严重细菌感染的倾向而闻名。本病例报告呈现了两例不同的[细菌名称]培养阳性感染病例。第一例涉及一名53岁男性,在疑似肾细胞癌的情况下被诊断出有新的肝脏、肺部和脑部病变。第二例中,一名84岁女性被发现患有[细菌名称]菌血症,同时伴有培养阳性的肝脓肿。这些病例说明了[细菌名称]感染的复杂性本质,其可能表现出各种具有临床意义的全身症状。目前,对于[细菌名称]感染的筛查以及后续管理没有标准化方案。由于[细菌名称]有可能模仿其他感染或病理状况,在获得阴性培养或PCR检测结果之前,它在鉴别诊断中应占有一席之地。

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