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妊娠剧吐住院期间发生蜡样芽孢杆菌败血症两例

Two Cases of Bacillus cereus Sepsis During Hospitalization for Hyperemesis Gravidarum.

作者信息

Shibata Megumi, Sakai Nobuko, Masunaga Aya, Hoshi Shinichi

机构信息

Obstetrics and Gynecology, Tokyo Riverside Hospital, Tokyo, JPN.

General Internal Medicine, Tokyo Riverside Hospital, Tokyo, JPN.

出版信息

Cureus. 2025 Jul 7;17(7):e87402. doi: 10.7759/cureus.87402. eCollection 2025 Jul.

Abstract

We report two cases of sepsis in pregnant women hospitalized for severe hyperemesis gravidarum. Both patients were previously healthy and were admitted for the management of hyperemesis gravidarum. They received intravenous amino acid-containing infusions (e.g., Bfluid) as part of standard supportive care. However, they subsequently developed sepsis within the same timeframe. , which is resistant to heat and alcohol-based disinfectants, was identified from blood cultures and the catheter tip culture. These cases emphasize that severe hyperemesis gravidarum can induce a transient immunocompromised state, thereby increasing susceptibility to opportunistic infections. Strict adherence to hygiene protocols and vigilant monitoring are essential to prevent nosocomial infections in this vulnerable population.

摘要

我们报告了两例因妊娠剧吐住院的孕妇发生败血症的病例。两名患者此前均健康,因妊娠剧吐入院治疗。作为标准支持治疗的一部分,她们接受了含氨基酸的静脉输液(如Bfluid)。然而,她们随后在同一时间段内发生了败血症。从血培养和导管尖端培养物中鉴定出了一种对热和酒精类消毒剂具有抗性的病菌。这些病例强调,妊娠剧吐可诱发短暂的免疫功能低下状态,从而增加对机会性感染的易感性。严格遵守卫生规程并进行 vigilant 监测对于预防这一脆弱人群的医院感染至关重要。 (注:原文中“vigilant”拼写错误,应该是“vigilant”,意为“警惕的,警觉的” )

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43e6/12326162/8309f8a42df8/cureus-0017-00000087402-i01.jpg

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