一个罕见的发现,在免疫功能正常的病人妇科手术后的特氏梭菌

Lauren Leightell-Brown, Alexander Frost-Younger, S. Rundle, C. Ang
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摘要

tertium梭菌(C. tertium)是一种革兰氏阳性的耐氧芽孢杆菌,是一种罕见的人类病原体,通常在嗜中性粒细胞减少的血液恶性肿瘤患者中发现。非中性粒细胞减少患者的有限病例报告表明,当与肠黏膜破坏和β -内酰胺类抗生素使用等危险因素相关时,C. tertium是一种潜在的病原体。我们的病例是一名59岁的女性,她在没有中性粒细胞减少的情况下,因输卵管卵巢起源的高级别浆液性癌进行了完全的细胞减少术,术后收集到含有c.t tium的标本。据我们所知,这是第一例记录在案的C. tertium感染在术后妇科肿瘤患者。
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A Rare Finding of Clostridium Tertium in an Immunocompetent Patient Following Gynecological Surgery
Clostridium tertium (C. tertium) is a Gram-positive, aerotolerant bacillus and a rare human pathogen usually identified in neutropenic patients with hematological malignancy. Limited case reports in non-neutropenic patients suggest the C. tertium is a potential pathogen when associated with risk factors which include intestinal mucosal disruption and beta-lactam antibiotic use. Our case is a 59-year-old woman who developed a post-operative collection containing C.tertium following complete cytore-ductive surgery for high-grade serous cancer of tubo-ovarian origin in the absence of neutropenia. To our knowledge, this is the first documented case of C. tertium infection in a post-operative Gynecological-Oncology patient.
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