产超广谱β-内酰胺酶肺炎克雷伯菌引起的医院获得性肝脓肿
Nosocomial liver abscess caused by extended-spectrum beta-lactamase-producing Klebsiella pneumoniae.
作者信息
Lin Jung-Chung, Siu L K, Fung Chang-Phone, Yeh Kao-Ming, Chang Feng-Yee
机构信息
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.
出版信息
J Clin Microbiol. 2007 Jan;45(1):266-9. doi: 10.1128/JCM.01413-06. Epub 2006 Nov 8.
Abstract
A nosocomial pyogenic liver abscess caused by an extended-spectrum beta-lactamase-producing Klebsiella pneumoniae isolate presented in a man with adenocarcinoma of the stomach. The K. pneumoniae strain isolated from blood and liver aspirate cultures after antibiotic therapy for recurrent bacteremia was resistant to all extended-spectrum beta-lactams except imipenem and differed from K. pneumoniae strains causing community-acquired liver abscesses.
摘要
一名患有胃腺癌的男性出现了由产超广谱β-内酰胺酶的肺炎克雷伯菌分离株引起的医院获得性化脓性肝脓肿。在针对复发性菌血症进行抗生素治疗后，从血液和肝穿刺培养物中分离出的肺炎克雷伯菌菌株对除亚胺培南外的所有超广谱β-内酰胺类抗生素均耐药，且与引起社区获得性肝脓肿的肺炎克雷伯菌菌株不同。
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