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亚利桑那亚种肠炎沙门氏菌引起的化脓性胸膜炎:一例报告

Purulent pleurisy caused by Salmonella enterica subspecies arizonae: a case report.

作者信息

Amri Amine, Boughalem Youssra, Benaissa Elmostafa, Benlahlou Yassine, Chadli Mariama

机构信息

Bacteriology Laboratory, Mohammed V Military Training Hospital, Rabat, Morocco.

Faculty of Medicine and Pharmacy, Rabat, Morocco.

出版信息

Access Microbiol. 2025 Jun 20;7(6). doi: 10.1099/acmi.0.000985.v5. eCollection 2025.

DOI:10.1099/acmi.0.000985.v5
PMID:40548130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12181620/
Abstract

Salmonellosis most commonly presents clinically as typhoid fever or gastroenteritis. Pleuropulmonary infections due to are still rare, even though they have often been described in immunocompromised patients. We report a rare case of purulent pleurisy caused by subsp. , occurring in a 50-year-old female with breast cancer who is currently treated with chemotherapy and radiotherapy along with chronic renal failure requiring haemodialysis, who presented with acute chest pain, dyspnoea and haemodynamic instability. After bacteriological identification of subsp. in pleural fluid, antibiotic susceptibility testing was performed. The patient was then started on a broad-spectrum antibiotic, which successfully improved her condition. Our case highlights the implication of subsp. in purulent pleurisy in an immunocompromised patient. An early diagnosis and a proper antibiotic therapy enabled us to reduce the morbidity and mortality risk in our patient.

摘要

沙门氏菌病临床上最常见的表现为伤寒热或肠胃炎。尽管在免疫功能低下的患者中经常有相关描述,但由[具体病菌名称]引起的胸膜肺部感染仍然很少见。我们报告了一例由[具体病菌亚种名称]亚种引起的化脓性胸膜炎罕见病例,患者为一名50岁的乳腺癌女性,目前正在接受化疗、放疗,同时患有慢性肾衰竭需要血液透析,她出现了急性胸痛、呼吸困难和血流动力学不稳定的症状。在对胸腔积液中的[具体病菌亚种名称]亚种进行细菌学鉴定后,进行了抗生素敏感性测试。然后给患者开始使用广谱抗生素,成功改善了她的病情。我们的病例突出了[具体病菌亚种名称]亚种在免疫功能低下患者化脓性胸膜炎中的影响。早期诊断和适当的抗生素治疗使我们能够降低患者的发病和死亡风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/270a5166b060/acmi-7-00985-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/8e2ebc20e91f/acmi-7-00985-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/aca21c892e9c/acmi-7-00985-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/270a5166b060/acmi-7-00985-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/8e2ebc20e91f/acmi-7-00985-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/aca21c892e9c/acmi-7-00985-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b9/12181620/270a5166b060/acmi-7-00985-g003.jpg

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本文引用的文献

1
Disseminated Enteric Salmonella Infection Associated With Empyema and Septic Arthritis in an Immunocompromised Patient.一名免疫功能低下患者发生的播散性肠道沙门氏菌感染伴脓胸和脓毒性关节炎
Cureus. 2024 Feb 1;16(2):e53392. doi: 10.7759/cureus.53392. eCollection 2024 Feb.
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JMM Case Rep. 2016 Aug 30;3(4):e005051. doi: 10.1099/jmmcr.0.005051. eCollection 2016 Aug.
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Salmonella arizona infections associated with ingestion of rattlesnake capsules.与摄入响尾蛇胶囊相关的亚利桑那沙门氏菌感染。
Arch Intern Med. 1989 Mar;149(3):701, 705. doi: 10.1001/archinte.149.3.701b.