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持续性定植后出现的耐万古霉素屎肠球菌败血症

Vancomycin-resistant Enterococcus faecium sepsis following persistent colonization.

作者信息

Noskin G A, Cooper I, Peterson L R

机构信息

Department of Medicine, Northwestern University Medical School, Chicago, Ill., USA.

出版信息

Arch Intern Med. 1995 Jul 10;155(13):1445-7.

PMID:7794095
Abstract

Vancomycin-resistant enterococci have emerged as important nosocomial pathogens and represent a serious threat to patients with impaired host defenses. We describe a patient with leukemia who developed prolonged colonization with vancomycin-resistant Enterococcus faecium and ultimately died of sepsis due to this multidrug-resistant organism. This case report confirms that colonization with vancomycin-resistant enterococci may last indefinitely and that asymptomatic carriage can lead to invasive infection.

摘要

耐万古霉素肠球菌已成为重要的医院病原体,对宿主防御功能受损的患者构成严重威胁。我们描述了一名白血病患者,该患者长期定植耐万古霉素屎肠球菌,最终死于由这种多重耐药菌引起的败血症。本病例报告证实,耐万古霉素肠球菌的定植可能会无限期持续,无症状携带可导致侵袭性感染。

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