A Rare Case of Breast Abscess Caused by Facklamia hominis Following COVID-19 Infection.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Lei Hou, Ziyi Fan, Luming Zheng
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引用次数: 0

Abstract

Purpose: Facklamia hominis is an infrequent opportunistic pathogen. This case report describes a ​young immunocompetent female who developed ​recurrent abscesses after a COVID-19 infection, highlighting the potential link between post-COVID-19 immune dysfunction and opportunistic infections.

Methods: A comprehensive review of the patient's clinical course, relevant laboratory tests, treatment, and post-treatment outcomes was conducted.

Results: A young female patient with a history of COVID-19 infection developed recurrent abscesses (perineal and breast) 40 days apart, which were managed with antibiotics, local incision and drainage, and traditional Chinese medicine (Xihuang pills, made up with Bezoar, Musk, Frankincense, and Myrrh). Laboratory tests revealed prealbumin deficiency (143 mg/L), a marker associated with poor prognosis in post-COVID-19 patients. Bacterial culture from the breast abscess confirmed Facklamia hominis infection, identified via VITEK 2 Compact system. The patient completed a two-week regimen of antibiotics combined with traditional Chinese medicine therapy, achieving complete resolution without recurrence during follow-up.

Conclusion: There is an emerging association between COVID-19 infection and subsequent Facklamia hominis infection, particularly in immunocompromised individuals. Post-COVID-19 lymphopenia and prealbumin deficiency may predispose patients to opportunistic infections.

Keywords: COVID-19, Multiple abscesses, breast abscess, Facklamia homini, prealbumin.

新型冠状病毒感染后人痘杆菌致乳腺脓肿1例。
目的:人法克兰菌是一种罕见的条件致病菌。本病例报告描述了一名年轻的免疫功能正常的女性,她在COVID-19感染后出现复发性脓肿,强调了COVID-19后免疫功能障碍与机会性感染之间的潜在联系。方法:对患者的临床过程、相关实验室检查、治疗和治疗后结果进行全面回顾。结果:1例年轻女性患者,有新冠肺炎感染史,间隔40天复发性脓肿(会阴和乳房),给予抗生素治疗,局部切开引流,中药(西黄丸,由牛黄、麝香、乳香、没药配制)。实验室检查显示前白蛋白缺乏(143mg /L),这是与covid -19后患者预后不良相关的标志物。乳房脓肿的细菌培养证实人类法克兰菌感染,通过VITEK 2 Compact系统鉴定。患者完成了为期两周的抗生素联合中药治疗方案,随访期间完全缓解,无复发。结论:COVID-19感染与随后的人类法克兰虫感染之间存在新的关联,特别是在免疫功能低下的个体中。covid -19后淋巴细胞减少和白蛋白前缺乏可能使患者易发生机会性感染。关键词:新型冠状病毒肺炎,多发脓肿,乳腺脓肿,人Facklamia,前白蛋白
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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