关键词: Tsukamurella bacteremia septic embolism

Mesh : Child, Preschool Humans Male Actinobacteria Bacteremia / complications Catheterization, Central Venous / adverse effects Pulmonary Embolism / etiology complications Sepsis / complications

来  源:   DOI:10.2169/internalmedicine.1444-22   PDF(Pubmed)

Abstract:
We herein report a three-year-old boy with septic pulmonary embolism caused by Tsukamurella paurometabola bacteremia during chemotherapy for rhabdomyosarcoma. During the interval of chemotherapy, the patient was temporarily discharged with a peripherally inserted central venous catheter but was re-admitted to the hospital with a fever on the same day. A blood culture taken at the time of re-admission showed T. paurometabola. The patient had a persistent fever, and computed tomography performed on the ninth day showed septic pulmonary embolism. We stress the importance of being aware of the possibility of septic pulmonary embolism in patients with Tsukamurella bacteremia.
摘要:
我们在此报告了一个三岁男孩,该男孩在横纹肌肉瘤的化疗期间因卵果菌菌血症引起的脓毒性肺栓塞。在化疗期间,患者使用外周中心静脉导管暂时出院,但在同一天因发烧再次入院。在再次入院时进行的血液培养显示T.pauroobota。病人持续发烧,在第9天进行的计算机断层扫描显示化脓性肺栓塞。我们强调必须意识到Tsukamuurella菌血症患者发生脓毒性肺栓塞的可能性。
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