Lihua Wu, Tinghua Ye, Xinling Pan, Li Hong, Yunzhen Shi
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引用次数: 0
摘要
一名 82 岁的男子因发热、反应迟钝、超敏 C 反应蛋白升高、嗜中性粒细胞增多而入院。急诊室静脉滴注了头孢曲松,但效果不佳。他住进病房后,开始接受抗感染治疗,并服用了包括头孢哌酮舒巴坦在内的抗生素。通过血液培养和 16S rRNA 测序,确定了脑膜炎伊丽莎白金丝菌。腰椎穿刺显示脑脊液压力为 80 mmH2O(1 mmH2O=0.0098 kPa),生化结果正常。经过 11 天的抗感染治疗,患者出院时血培养阴性,高敏 C 反应蛋白和中性粒细胞下降。患者出院后接受左氧氟沙星片抗感染治疗 14 天,随访三个月未发现感染迹象。
A case of Elizabethkingia meningoseptica septicemia.
A 82-year-old man was admitted to hospital with fever, unresponsiveness, elevated hypersensitive C-reactive protein and neutrophile granulocyte. Ceftriaxone was administrated by intravenous dripping in the emergency room, but the effect was not satisfactory. Following his admission to the ward, cefoperazone sulbactam were given. Elizabethkingia meningoseptica was identified by blood culture and further confirmed by 16S rRNA sequencing. The lumbar puncture showed that cerebrospinal fluid pressure was 80 mmH2O (1 mmH2O=0.0098 kPa) and biochemical results were normal. After 11 days of cefoperazone sulbactam treatment, the patient was discharged with negative blood culture. The hypersensitive C-reactive protein and neutrophile granulocyte had also declined. The patient received levofloxacin tablets for anti-infection treatment for 14 d after discharge. No signs of infection were observed in three months' following up.