一名免疫功能低下患者发生对青霉素敏感性降低的肺炎链球菌所致蜂窝织炎。

Cellulitis due to Streptococcus pneumoniae with diminished susceptibility to penicillin in an immunocompromised patient.

作者信息

Souweine B, Mom T, Bret L, Klisnick A, Baguet J C, Gilain L

机构信息

Service de Réanimation Polyvalente, Hôpital G. Montpied, Clermont-Ferrand, France.

出版信息

Scand J Infect Dis. 1997;29(5):518-9. doi: 10.3109/00365549709011867.

DOI:10.3109/00365549709011867

PMID:9435045

Abstract

A 74-year-old man with multiple myeloma developed facial and cervical cellulitis and severe sepsis as a complication of surgery (alar region basal cell carcinoma). The etiological agent was, surprisingly, penicillin-resistant Streptococcus pneumoniae (PRSP). The patient successfully received 16 days of antibiotics. Amoxicillin was given as monotherapy during the last 14 days of treatment. PRSP can be responsible not only for otitis media, pneumonia or meningitis, but also for various other types of infection in patients with predisposing factors.

摘要

一名74岁的多发性骨髓瘤男性患者，因手术（鼻翼基底细胞癌）并发症出现面部和颈部蜂窝织炎及严重脓毒症。令人惊讶的是，病原体是耐青霉素肺炎链球菌（PRSP）。患者成功接受了16天的抗生素治疗。在治疗的最后14天，阿莫西林作为单一疗法给药。PRSP不仅可导致中耳炎、肺炎或脑膜炎，还可导致有易感因素患者发生各种其他类型的感染。