Fife A, Hill D, Barton C, Burden P
Department of Microbiology, Royal Berkshire Hospital, Reading.
J Clin Pathol. 1994 Jan;47(1):82-4. doi: 10.1136/jcp.47.1.82.
Buffy coat smears from febrile patients may contain visible bacteria and therefore detect bacteraemia before conventional blood cultures become positive. However, it is unusual to see micro-organisms in an otherwise untreated peripheral blood smear. The case of a febrile neutropenic patient is reported. A Wright's stained peripheral blood smear contained bacterial elements, thus making earlier diagnosis of septicaemia and identification of the causative bacterium possible.
发热患者的血沉棕黄层涂片可能含有可见细菌,因此可在传统血培养呈阳性之前检测到菌血症。然而,在未经治疗的外周血涂片中通常看不到微生物。本文报告了一例发热性中性粒细胞减少患者的病例。一张经瑞氏染色的外周血涂片含有细菌成分,从而使得败血症的早期诊断和病原菌的鉴定成为可能。