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非典型肺炎:一例罕见的食酸代尔夫特菌肺炎合并恶性鳞状细胞癌病例

Not Your Typical Pneumonia: A Rare Case of Delftia acidovorans Pneumonia With Concurrent Malignant Squamous Cell Carcinoma.

作者信息

Gordon Kyle S, Marin Diego

机构信息

Internal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton Regional Hospital, Boca Raton, USA.

Pulmonary and Critical Care, Boca Raton Regional Hospital, Boca Raton, USA.

出版信息

Cureus. 2025 Feb 27;17(2):e79796. doi: 10.7759/cureus.79796. eCollection 2025 Feb.

Abstract

() is classified as a Gram-negative, aerobic non-fermenting bacillus that is commonly found in outdoor environmental elements, such as soil and water. In normal circumstances, it is considered a non-pathological environmental organism, rarely implicated in clinical settings with a low incidence of patient infection. infections, including pneumonia and sepsis, are often associated with increased susceptibility to secondary infections from other Gram-negative bacteria, especially in patients with solid or hematologic malignancies. Henceforth, this case report presents a case of a stroke patient, found to have an obstructive metastatic squamous cell carcinoma of the lung complicated with pneumonia. The report sheds light in regards to how rare, unassuming pathogens can have significant clinical significance and limited treatment modalities in immunocompromised patients.

摘要

(某菌)被归类为革兰氏阴性需氧非发酵杆菌,常见于户外环境因素中,如土壤和水。在正常情况下,它被认为是一种非致病性环境生物,在临床环境中很少涉及,患者感染发生率较低。包括肺炎和败血症在内的(该菌)感染通常与对其他革兰氏阴性细菌继发感染的易感性增加有关,尤其是在实体或血液系统恶性肿瘤患者中。因此,本病例报告呈现了一例中风患者,发现患有肺阻塞性转移性鳞状细胞癌并伴有(该菌)肺炎。该报告揭示了在免疫功能低下的患者中,罕见、不起眼的病原体如何具有重大临床意义以及有限的治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9b/11954973/bf999a96d9cf/cureus-0017-00000079796-i01.jpg

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