按蚊伊丽莎白菌相关性脓毒血症或脑膜炎——案例分析并文献复习
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四川省科技厅重点研发(重大科技专项)项目(2019YFS0180)


Elizabethkingia anopheles-associated sepsis or meningitis: a case report and literature review
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    摘要:

    目的 报告1例按蚊伊丽莎白菌相关性脓毒血症及脑膜炎并复习文献,为该细菌感染的诊疗提供参考。方法 回顾性分析1例年龄为11岁7个月的神经外科术后按蚊伊丽莎白菌相关性脓毒血症及脑膜炎患儿的治疗过程,并检索相关文献, 筛选并总结分析按蚊伊丽莎白菌相关性脓毒血症或脑膜炎感染患者的临床资料。结果 该患儿以发热及脑脊液常规异常为主要临床表现,脑脊液及血培养为按蚊伊丽莎白菌,选用万古霉素治疗后痊愈。复习文献结合此例患者共33例,其中男性16例,1例未报道性别;中位年龄为49岁(1 d~84岁);以医院获得性感染为主(62.5%,20例);多数患者合并有基础疾病,24例患者治愈。结论 按蚊伊丽莎白菌相关性感染临床罕见,但可引起严重感染,如脓毒血症、脑膜炎等,临床应引起重视。

    Abstract:

    Objective To report a case of Elizabethkingia anopheles (E. anopheles)-associated sepsis and meningitis, review the relevant literatures, and provide reference for the diagnosis and treatment of this infection. Methods Treatment process of a pediatric patient aged 11-year-7-month old who developed post-neurosurgery E. anopheles-associated sepsis and meningitis was analyzed retrospectively. Relevant literature was reviewed to summarize clinical characteristics of patients with E. anopheles-associated sepsis or meningitis. Results The main clinical manifestations of this pediatric patient were fever and abnormal cerebrospinal fluid routine. The cerebrospinal fluid and blood cultures showed E. anopheles. Patient recovered after vancomycin treatment. Including this case, a total of 33 cases were analyzed, with 16 males and 1 unreported gender. The median age of patients was 49 years old (range: 1 day-84 years). Most cases were healthcare-associated infections (62.5%, n=20) with underlying diseases, and 24 cases were cured. Conclusion E. anopheles-associated infections are rare in clinic, but can cause severe infections such as sepsis and meningitis, warranting clinical attention.

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徐昌静,王国俊,王述蓉,等.按蚊伊丽莎白菌相关性脓毒血症或脑膜炎——案例分析并文献复习[J]. 中国感染控制杂志,2025,24(4):557-562. DOI:10.12138/j. issn.1671-9638.20256990.
XU Changjing, WANG Guojun, WANG Shurong, et al.Elizabethkingia anopheles-associated sepsis or meningitis: a case report and literature review[J]. Chin J Infect Control, 2025,24(4):557-562. DOI:10.12138/j. issn.1671-9638.20256990.

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  • 收稿日期:2024-09-14
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  • 在线发布日期: 2025-04-24
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