关键词: arcanobacterium haemolyticum co-infection diabetes mellitus pyothorax staphylococcus aureus

来  源:   DOI:10.7759/cureus.44096   PDF(Pubmed)

Abstract:
Arcanobacterium haemolyticum causes pharyngeal and skin lesions but rarely causes severe systemic infections. An 80-year-old woman with diabetes mellitus was admitted for surgery of a left femoral neck fracture and right first toe ulcer. On day 19, chest radiography revealed a massive left pleural effusion.Pleural fluid culture grew Staphylococcus aureus and A. haemolyticum. The fluid was drained via a chest tube, and the patient was treated with cefazolin and clindamycin. Only four cases of pyothorax caused by A. haemolyticum have been reported, and no previous cases of A. haemolyticum pyothorax with bacterial co-infections have been reported.
摘要:
溶血弧菌引起咽部和皮肤损伤,但很少引起严重的全身感染。一名80岁的糖尿病妇女因左股骨颈骨折和右第一脚趾溃疡手术而入院。第19天,胸部X线检查显示左侧大量胸腔积液。胸膜液培养培养金黄色葡萄球菌和溶血葡萄球菌。液体通过胸管排出,患者接受头孢唑啉和克林霉素治疗。仅报告了4例由溶血曲霉引起的脓胸,以前没有报道过溶血性脓胸杆菌合并细菌感染的病例。
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