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新型棒状杆菌所致脓毒症

Sepsis with a new species of Corynebacterium.

作者信息

Hande K R, Witebsky F G, Brown M S, Schulman C B, Anderson S E, Levine A S, MacLowery J D, Chabner B A

出版信息

Ann Intern Med. 1976 Oct;85(4):423-6. doi: 10.7326/0003-4819-85-4-423.

Abstract

Sepsis with a previously undescribed species of Corynebacterium was documented in four patients. All patients had predisposing illness at the time of infection, three patients having leukemia in relapse and one having a porencephalic cyst and a ventriculoatrial shunt. The isolates from blood cultures had a characteristic metallic sheen when grown on blood agar. They were resistant to most antibiotics tested, including the penicillins, but were uniformly sensitive to vancomycin. Common biochemical characteristics, the metallic sheen, and the unusual antibiotic sensitivity pattern suggest that these isolates comprise a new species or group of closely related species of Corynebacterium that is capable of infection in man.

摘要

4例患者被诊断为感染了一种此前未被描述过的棒状杆菌属细菌而引发败血症。所有患者在感染时均有易感疾病,其中3例患者白血病复发,1例患者患有脑穿通性囊肿并伴有脑室心房分流术。血培养分离出的菌株在血琼脂平板上生长时具有特征性的金属光泽。它们对包括青霉素在内的大多数测试抗生素耐药,但对万古霉素均敏感。常见的生化特征、金属光泽以及异常的抗生素敏感性模式表明,这些分离菌株构成了一种能够感染人类的棒状杆菌新物种或一组密切相关的物种。

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