猪多糖菌血症导致的脓毒性休克和死亡:病例报告。

IF 1.3 4区 医学 Q4 INFECTIOUS DISEASES Japanese journal of infectious diseases Pub Date : 2024-10-31 DOI:10.7883/yoken.JJID.2024.178
Sachiko Hakoda, Akira Ishiwata, Ryo Shimada, Shuji Hatakeyama, Makoto Kondo
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引用次数: 0

摘要

我们报告了一例患有神经脊髓炎视网膜谱系障碍的 77 岁日本妇女的病例,她每天接受 15 毫克泼尼松龙治疗,但因猪多糖菌血症而出现急性脓毒性休克和意识改变。最初的治疗方法是静脉注射细胞外液和广谱抗生素。然而,患者在入院后不久死亡。我们进行了 16S rRNA 测序并分析了 murJ 基因。根据弗洛雷斯-拉莫斯(Flores Ramos)等人提出的分类方法,用邻接法构建的系统发生树显示,该菌株属于 C3 支系。猪丹毒杆菌是上呼吸道的一种共生细菌,虽然很少与感染有关,但偶尔也会引起严重感染。积累临床和细菌学数据对于了解该病菌的致病性和相关感染至关重要。
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Septic shock and death due to Dolosigranulum pigrum bacteremia: a case report.

We report the case of a 77-year-old Japanese woman with neuromyelitis optica spectrum disorder, treated with 15 mg of prednisolone daily, who presented with acute septic shock and altered consciousness due to Dolosigranulum pigrum bacteremia. Intravenous extracellular fluids and broad-spectrum antibiotics were administered as an initial treatment. However, the patient died shortly after admission. We performed 16S rRNA sequencing and analyzed the murJ gene. A phylogenetic tree constructed using the neighbor-joining method showed that the strain belonged to clade C3, according to the classification proposed by Flores Ramos et al. Although D. pigrum, a commensal bacterium of the upper respiratory tract, is rarely associated with infections, it occasionally causes serious infections. Accumulation of clinical and bacteriological data is crucial for understanding the pathogenicity and infections associated with this organism.

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来源期刊
CiteScore
4.50
自引率
4.50%
发文量
172
审稿时长
2 months
期刊介绍: Japanese Journal of Infectious Diseases (JJID), an official bimonthly publication of National Institute of Infectious Diseases, Japan, publishes papers dealing with basic research on infectious diseases relevant to humans in the fields of bacteriology, virology, mycology, parasitology, medical entomology, vaccinology, and toxinology. Pathology, immunology, biochemistry, and blood safety related to microbial pathogens are among the fields covered. Sections include: original papers, short communications, epidemiological reports, methods, laboratory and epidemiology communications, letters to the editor, and reviews.
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