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一名慢性肝病患者的菌血症

Bacteremia in a Patient With Chronic Liver Disease.

作者信息

Orsini Jose, Sabayev Vladimir

机构信息

Department of Medicine, Division of Critical Care Medicine, Upper Allegheny Health System, Olean General Hospital, 515 Main Street, Olean, NY 14760, USA.

出版信息

J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):69-72. doi: 10.55729/2000-9666.1511. eCollection 2025.

DOI:10.55729/2000-9666.1511
PMID:40757229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12315897/
Abstract

is a non-spore forming gram-negative organism characterized morphologically as coccobacillus. It is frequently isolated from the nasopharynx of domestic and wild animals, and is the most common cause of soft-tissue infection in humans following bites or scratches from dogs and cats. It is easily overgrowth by other flora in the sputum and may be regularly overlook, as it resembles , , and . The five species that cause the majority of pasteurellosis are: , , , , and . is infrequently encounter in clinical settings, although it can cause disease in humans primarily through contact with animals or their mucous secretions. Furthermore, serves as an opportunistic pathogen in humans, especially in those with depressed immune system. In this report, and after extensive literature review, the authors described a patient with septic shock resulting from bacteremia without prior history of animal exposure.

摘要

是一种无芽孢形成的革兰氏阴性菌,形态学上为球杆菌。它经常从家畜和野生动物的鼻咽部分离出来,是人类被狗和猫咬伤或抓伤后软组织感染的最常见原因。它很容易被痰液中的其他菌群过度生长,并且可能经常被忽视,因为它与、和相似。引起大多数巴氏杆菌病的五个物种是:、、、和。在临床环境中很少遇到,尽管它主要通过与动物或其粘液分泌物接触可导致人类疾病。此外,在人类中作为机会致病菌,特别是在免疫系统低下的人群中。在本报告中,经过广泛的文献综述,作者描述了一名因菌血症导致感染性休克的患者,该患者既往无动物接触史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518e/12315897/ade2deba8e0e/jchim-15-04-069f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518e/12315897/ade2deba8e0e/jchim-15-04-069f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518e/12315897/ade2deba8e0e/jchim-15-04-069f1.jpg

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本文引用的文献

1
More Than a Case of Cellulitis: Pasteurella multocida Bacteremia.不仅仅是一例蜂窝织炎:多杀巴斯德菌血症
Cureus. 2023 Mar 13;15(3):e36096. doi: 10.7759/cureus.36096. eCollection 2023 Mar.
2
Disseminated in a patient with liver cirrhosis and spontaneous bacterial peritonitis - The role of cirrhosis-associated immune dysfunction.在一名肝硬化合并自发性细菌性腹膜炎患者中的播散——肝硬化相关免疫功能障碍的作用
IDCases. 2022 Jun 21;29:e01542. doi: 10.1016/j.idcr.2022.e01542. eCollection 2022.
3
Bacteremia Due to Obstructive Pneumonia in an Immunocompromised Patient.
免疫功能低下患者因阻塞性肺炎导致的菌血症
J Community Hosp Intern Med Perspect. 2022 Apr 12;12(2):50-52. doi: 10.55729/2000-9666.1039. eCollection 2022.
4
Prognostic factors of Pasteurella infections: a single-center retrospective cohort study over a 14-year period (2005-2018).巴氏杆菌感染的预后因素:14 年(2005-2018 年)单中心回顾性队列研究。
Int J Infect Dis. 2022 Mar;116:197-203. doi: 10.1016/j.ijid.2022.01.028. Epub 2022 Jan 19.
5
Pasteurella bacteraemia: Impact of comorbidities on outcome, based on a case series and literature review.巴斯德氏菌菌血症:基于病例系列和文献回顾的合并症对预后的影响。
Int J Infect Dis. 2020 Mar;92:89-96. doi: 10.1016/j.ijid.2020.01.003. Epub 2020 Jan 8.
6
'Non-zoonotic' pasteurella multocida infection in an immunocompromised patient.免疫功能低下患者的“非人畜共患型”多杀巴斯德菌感染
J Community Hosp Intern Med Perspect. 2018 Dec 11;8(6):370-372. doi: 10.1080/20009666.2018.1548845. eCollection 2018.
7
Pasteurella multocida Infective Endocarditis.多杀巴斯德菌感染性心内膜炎
J Heart Valve Dis. 2015 Nov;24(6):778-779.
8
Clinical Features and Outcomes of Pasteurella multocida Infection.多杀巴斯德菌感染的临床特征与结局
Medicine (Baltimore). 2015 Sep;94(36):e1285. doi: 10.1097/MD.0000000000001285.
9
Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America.美国传染病学会关于皮肤和软组织感染的诊断和管理实践指南:2014 年更新。
Clin Infect Dis. 2014 Jul 15;59(2):147-59. doi: 10.1093/cid/ciu296. Epub 2014 Jun 18.
10
Non-zoonotic Pasteurella multocida Infection as a Cause of Septic Shock in a Patient with Liver Cirrhosis: A Case Report and Review of the Literature.非人畜共患多杀巴斯德菌感染作为肝硬化患者感染性休克的病因:病例报告及文献复习
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