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伴有多发性肺脓肿的甲氧西林敏感金黄色葡萄球菌菌血症:一例无明显脓毒性栓子来源的病例

Methicillin-Sensitive Staphylococcus aureus Bacteremia With Multiple Lung Abscesses: A Case Without an Apparent Source of Septic Emboli.

作者信息

Aal Yaseen Mustafa, Adhnon Arshiya, Prakash Amog, Alhaj Abeer A

机构信息

Internal Medicine, College of Medicine, University of Sharjah, Sharjah, ARE.

Internal Medicine, Dubai Health, Dubai, ARE.

出版信息

Cureus. 2025 Jul 2;17(7):e87173. doi: 10.7759/cureus.87173. eCollection 2025 Jul.

Abstract

is a Gram-positive bacterium implicated in several infections. While the methicillin-resistant strains are usually a greater cause for concern, it is imperative to recognize that methicillin-sensitive  (MSSA) is capable of causing a wide variety of complications as well. When disseminated MSSA is encountered, workup usually reveals a source for the septic emboli, be it infective endocarditis or septic thrombophlebitis. Here, we present a young gentleman who presented with a facial wound that grew MSSA, who, despite adequate source control, developed disseminated MSSA bacteremia with multiple lung abscesses. Most notably, there were no findings or septic thrombophlebitis, and both transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) revealed no cardiac vegetation.

摘要

是一种与多种感染有关的革兰氏阳性细菌。虽然耐甲氧西林菌株通常更令人担忧,但必须认识到甲氧西林敏感(MSSA)也能够引起各种各样的并发症。当遇到播散性MSSA时,检查通常会发现脓毒性栓子的来源,无论是感染性心内膜炎还是脓毒性血栓性静脉炎。在此,我们报告一位年轻男性,他面部伤口培养出MSSA,尽管进行了充分的源头控制,仍发生了播散性MSSA菌血症并伴有多个肺脓肿。最值得注意的是,没有发现脓毒性血栓性静脉炎的迹象,经胸超声心动图(TTE)和经食管超声心动图(TEE)均未发现心脏赘生物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b894/12316070/bd7d097b8658/cureus-0017-00000087173-i01.jpg

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