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嗜水气单胞菌所致肺炎和菌血症

Pneumonia and bacteremia due to Aeromonas hydrophila.

作者信息

Reines H D, Cook F V

出版信息

Chest. 1981 Sep;80(3):264-7. doi: 10.1378/chest.80.3.264.

DOI:10.1378/chest.80.3.264
PMID:7273876
Abstract

Aeromonas hydrophila is a gram-negative bacillus which has been rarely identified as a human pathogen except in immunologically compromised hosts. We have recently treated three patients for severe A hydrophila pneumonia and sepsis. Two of these patients were healthy young men who aspirated the organism from contaminated water associated with near drowning. One patient survived severe ARDS and gram-negative sepsis. A third patient with chronic renal failure acquired A hydrophila pneumonia at home and quickly died from the infection. A hydrophila is becoming more commonly recognized as a lethal pathogen and should be sought when gram negative infection is suspected.

摘要

嗜水气单胞菌是一种革兰氏阴性杆菌,除了在免疫功能低下的宿主中,很少被鉴定为人类病原体。我们最近治疗了三名患有严重嗜水气单胞菌肺炎和败血症的患者。其中两名患者是健康的年轻男性,他们从与近乎溺水相关的受污染水中吸入了这种细菌。一名患者在严重急性呼吸窘迫综合征和革兰氏阴性败血症中幸存下来。第三名患有慢性肾衰竭的患者在家中感染了嗜水气单胞菌肺炎,并很快死于感染。嗜水气单胞菌越来越被公认为是一种致命病原体,当怀疑有革兰氏阴性感染时应进行检测。

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