CAJ | 학술논문

目的提高对少见病原菌睾丸酮丛毛单胞菌致肺脓肿的认识.方法分析西安交通大学第一附属医院呼吸与危重症医学科收治的1例睾丸酮丛毛单胞菌致肺脓肿病例的临床资料,并复习相关文献.结果男性患者,50岁,以"咳痰、气短2周,发热1d"入院,入院前胸部CT提示肺脓肿,抗感染治疗效果不佳;入院后积极抗感染,症状有所缓解,仍反复发热,痰培养提示睾丸酮丛毛单胞菌,为多耐药菌,根据药敏结果调整抗生素后体温正常.结论睾丸酮丛毛单胞菌感染引起肺脓肿及感染性休克为首例报道,此病原菌感染多有相关易患因素,不同部位感染睾丸酮丛毛单胞菌的特性及药敏结果各不相同.
목적 제고대소견병원균고환동총모단포균치폐농종적인식.방법 분석서안교통대학제일부속의원호흡여위중증의학과수치적1례고환동총모단포균치폐농종병례적림상자료,병복습상관문헌.결과 남성환자,50세,이"해담、기단2주,발열1d"입원,입원전흉부CT제시폐농종,항감염치료효과불가;입원후적겁항감염,증상유소완해,잉반복발열,담배양제시고환동총모단포균,위다내약균,근거약민결과조정항생소후체온정상.결론 고환동총모단포균감염인기폐농종급감염성휴극위수례보도,차병원균감염다유상관역환인소,불동부위감염고환동총모단포균적특성급약민결과각불상동.
Objective To recognize the rare Comamonas testosteroni lung abscess.Methods The data of one case of Comamonas testosteroni lung abscess admitted to our hospital were retrospectively analyzed, the related literatures were reviewed.Results The patient was male, 50 years old.This patient suffered from expectoration and dyspnea for two weeks and fever for one day.Chest CT showed lung abscess before admission.Antibiotic therapy did not relieve his symptom.After admission, advanced antibiotic therapy was conducted, but fever continued.Comamonas testosteroni was cultured in sputum,which was multiple drug-resistance bacteria.After antibiotic was adjusted in accordance with drug sensitivity test, the disease was improved.Conclusions We report the first case of lung abscess and septic shock resulted from Comamonas testosteroni infection.Comamonas testosteroni infection is related with some risk factors.In different organs,the characters of Comamonas testosteroni and drug sensitivity tests are variant.