坏死性胰腺炎感染嗜麦芽窄养单胞菌:一种新兴的罕见多重耐药生物。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastrointestinal Medicine Pub Date : 2023-01-01 DOI:10.1155/2023/8071158
Sophia Dar, Nooraldin Merza, Maryam Haider, Yousaf Zafar, Noren Din, Rosario Ligresti, Rani Sebti
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引用次数: 1

摘要

嗜麦芽窄养单胞菌(SM)是一种多重耐药的革兰氏阴性(GN)芽孢杆菌,是一种日益被认识到的医院和环境病原体。它对碳青霉烯类药物具有内在耐药性,碳青霉烯类药物通常用于坏死性胰腺炎(NP)的治疗。我们报告一个21岁的免疫功能正常的女性NP合并胰液收集(PFC)感染SM。三分之一的NP患者会发生GN细菌感染,而包括碳青霉烯类在内的广谱抗生素覆盖了大多数感染,甲氧苄啶-磺胺甲恶唑(TMP-SMX)是SM的一线治疗抗生素。这一病例至关重要,因为它突出了一种罕见的病原体,在对其护理计划没有反应的患者中应被视为因果病原体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Necrotizing Pancreatitis Infected with Stenotrophomonas maltophilia: An Emerging Rare Multidrug-Resistant Organism.

Stenotrophomonas maltophilia (SM) is a multidrug-resistant, Gram-negative (GN) bacillus that is an increasingly recognized nosocomial and environment pathogen. It is intrinsically resistant to carbapenems, a drug commonly utilized in the management of necrotizing pancreatitis (NP). We report a 21-year-old immunocompetent female with NP complicated by pancreatic fluid collection (PFC) infected with SM. One-third of patients with NP will develop infections by GN bacteria, while broad-spectrum antibiotics, including carbapenems, cover most infections, trimethoprim-sulfamethoxazole (TMP-SMX) is the first-line treatment antibiotic for SM. This case is critical because it highlights a rare pathogen that should be considered a causal pathogen in patients who do not respond to their care plan.

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来源期刊
Case Reports in Gastrointestinal Medicine
Case Reports in Gastrointestinal Medicine GASTROENTEROLOGY & HEPATOLOGY-
自引率
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发文量
33
审稿时长
14 weeks
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