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| 題 名 | Pyomyositis and Necrotizing Pneumonia in a Young Soldier Caused by Methicillin-Susceptible Staphylococcus aureus of Sequence Type 59 Lineage=序列型59的金黃色葡萄球菌在一個年輕軍人所導致的化膿性肌炎和壞死性肺炎 |
|---|---|
| 作 者 | 郭培雄; 陳逢叡; 詹明錦; 甘麗平; 葉國明; 林永崇; 邱勝康; | 書刊名 | 內科學誌 |
| 卷 期 | 27:1 2016.02[民105.02] |
| 頁 次 | 頁49-54 |
| 分類號 | 415.15 |
| 關鍵詞 | 化膿性肌炎; 壞死性肺炎; 金黃色葡萄球菌; 潘頓-瓦倫丁殺白細胞素; Necrotizing pneumonia; Pyomyositis; Panton-Valentine leukocidin; Staphylococcus aureus; |
| 語 文 | 英文(English) |
| 中文摘要 | 我們在此報告一名23歲的男性士兵,最初始於右腿疼痛,後來快速發展到危及生命的感染性肺栓塞,感染性休克,急性呼吸衰竭的情況。最後的診斷是由甲氧西林敏感之金黃色葡萄球菌所引起的化膿性肌炎和壞死性肺炎,此菌株可製造潘頓-瓦倫丁殺白細胞素(PVL),屬於序列型59單基因變異(ST59slv)。這類微生物在台灣是普遍的,通常是無生命危險的皮膚和軟組織感染症。這是序列型59金黃色葡萄球菌感染所造成生命威脅的第一份報告。病人經由抗葡萄球菌和抗毒素藥物,手術引流及清創,重症監護,和多重專科合併治療之後存活。 |
| 英文摘要 | We herein report a case involving a 23-year-old male soldier with initial right leg pain that rapidly progressed to life-threatening septic pulmonary emboli, septic shock, and acute respiratory failure. The eventual diagnosis was pyomyositis and necrotizing pneumonia caused by Panton-Valentine leukocidin-producing, sequence type 59 single-locus variant (ST59slv) methicillin-susceptible Staphylococcus aureus. This microorganism is common in Taiwan and usually causes non-life-threatening skin and soft tissue infections. This is the first report of a life-threatening condition caused by ST59slv S. aureus infection. The patient survived with antistaphylococcal and antitoxic therapy, surgical drainage and debridement, intensive care, and multidisciplinary intervention. |
本系統中英文摘要資訊取自各篇刊載內容。