中华结核和呼吸杂志
中華結覈和呼吸雜誌
중화결핵화호흡잡지
Chinese Journal of Tuberculosis and Respiratory Diseases
2013年
12期
959-962
,共4页
水生棒状杆菌%肺炎%积脓,胸腔
水生棒狀桿菌%肺炎%積膿,胸腔
수생봉상간균%폐염%적농,흉강
Corynebacterium aquaticum%Pneumonia%Empyema,pleural
目的 提高对水生棒状杆菌所致感染的认识,提高其诊断及治疗水平.方法 回顾性分析吉林省人民医院呼吸科1例经病理及肺组织细菌学培养、血培养、胸腔脓液培养确诊的水生棒状杆菌感染病例并进行相关文献复习.结果 患者男,39岁,因“发热、咳嗽、咳痰、右侧胸背部疼痛”10 d于2012年8月17日入院.入院前曾诊断为“肺炎”,静脉滴注广谱抗菌药物治疗无明显疗效.入院后在磁共振引导下经皮肺穿刺组织活检及肺组织细菌学培养、胸腔脓液培养以及血培养确诊为水生棒状杆菌肺炎合并脓胸及败血症.经胸腔脓液引流,静脉滴注万古霉素等治疗痊愈出院.到目前为止,国内外均未检索到水生棒状杆菌肺炎合并脓胸及败血症病例.结论 水生棒状杆菌肺炎合并脓胸及败血症罕见,确诊需要病理及肺组织细菌学培养、血液培养及胸腔脓液培养;胸腔冲洗引流及万古霉素静脉滴注治疗效果好.
目的 提高對水生棒狀桿菌所緻感染的認識,提高其診斷及治療水平.方法 迴顧性分析吉林省人民醫院呼吸科1例經病理及肺組織細菌學培養、血培養、胸腔膿液培養確診的水生棒狀桿菌感染病例併進行相關文獻複習.結果 患者男,39歲,因“髮熱、咳嗽、咳痰、右側胸揹部疼痛”10 d于2012年8月17日入院.入院前曾診斷為“肺炎”,靜脈滴註廣譜抗菌藥物治療無明顯療效.入院後在磁共振引導下經皮肺穿刺組織活檢及肺組織細菌學培養、胸腔膿液培養以及血培養確診為水生棒狀桿菌肺炎閤併膿胸及敗血癥.經胸腔膿液引流,靜脈滴註萬古黴素等治療痊愈齣院.到目前為止,國內外均未檢索到水生棒狀桿菌肺炎閤併膿胸及敗血癥病例.結論 水生棒狀桿菌肺炎閤併膿胸及敗血癥罕見,確診需要病理及肺組織細菌學培養、血液培養及胸腔膿液培養;胸腔遲洗引流及萬古黴素靜脈滴註治療效果好.
목적 제고대수생봉상간균소치감염적인식,제고기진단급치료수평.방법 회고성분석길림성인민의원호흡과1례경병리급폐조직세균학배양、혈배양、흉강농액배양학진적수생봉상간균감염병례병진행상관문헌복습.결과 환자남,39세,인“발열、해수、해담、우측흉배부동통”10 d우2012년8월17일입원.입원전증진단위“폐염”,정맥적주엄보항균약물치료무명현료효.입원후재자공진인도하경피폐천자조직활검급폐조직세균학배양、흉강농액배양이급혈배양학진위수생봉상간균폐염합병농흉급패혈증.경흉강농액인류,정맥적주만고매소등치료전유출원.도목전위지,국내외균미검색도수생봉상간균폐염합병농흉급패혈증병례.결론 수생봉상간균폐염합병농흉급패혈증한견,학진수요병리급폐조직세균학배양、혈액배양급흉강농액배양;흉강충세인류급만고매소정맥적주치료효과호.
Objective To study the diagnosis and treatment of Corynebacterium aquaticum infection.Methods A retrospective analysis of one case of Corynebacterium aquaticum infection and literature review were conducted.Results A 39-year old male patient was admitted because of cough,sputum production,fever and right chest pain for 10 days.Broad-spectrum antibiotic therapy had been given in another hospital,but the patient's condition had deteriorated.Nuclear magnetic resonance-guided percutancous transthoracic needle aspiration and lung tissue,pleural fluid and blood culture were performed after admission to our hospital.Corynebacterium aquaticum was grown from the lung tissue,the blood and the pleural effusion.Therefore the diagnosis of Corynebacterium aquaticum pneumonia complicated with pyothorax and septicemia was confirmed.After draining of pleural pus and intravenous vancomycin therapy,the patient recovered and was discharged from hospital.After literature search,we did not find reports on Corynebacterium aquaticum pneumonia complicated with pyothorax and septicemia.Conclusions Corynebacterium aquaticum pneumonia complicated with pyothorax and septicemia is rare.The diagnosis could be confirmed by bacterial culture of lung tissue,pleural fluid and blood.Thoracic cavity draining and intravenous vancomycin are effective therapies for the disease.
