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溶齿放线菌引起的胸肺感染。肺和心肺移植受者中的两例病例及文献综述。

Actinomyces odontolyticus thoracopulmonary infections. Two cases in lung and heart-lung transplant recipients and a review of the literature.

作者信息

Bassiri A G, Girgis R E, Theodore J

机构信息

Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Calif., USA.

出版信息

Chest. 1996 Apr;109(4):1109-11. doi: 10.1378/chest.109.4.1109.

DOI:10.1378/chest.109.4.1109
PMID:8635341
Abstract

We present the first case of mediastinitis and the third case of pneumonia attributed to Actinomyces odontolyticus. The first patient presented 10 months after single-lung transplant with a subacute apical infiltrate in the native lung and responded to therapy with oral penicillin. The second patient developed pyogenic mediastinitis 25 days after a heart-lung transplant and required sternal debridement and intravenous penicillin. We also review the literature on thoracopulmonary infections due to A odontolyticus.

摘要

我们报告了首例由溶齿放线菌引起的纵隔炎以及第三例由该菌引起的肺炎。首例患者在单肺移植术后10个月出现原肺亚急性尖段浸润,口服青霉素治疗有效。第二例患者在心肺移植术后25天发生化脓性纵隔炎,需要进行胸骨清创术并静脉注射青霉素。我们还回顾了关于溶齿放线菌引起胸肺部感染的文献。

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