一名健康孕妇感染甲型流感后由耐甲氧西林金黄色葡萄球菌引发的社区获得性坏死性肺炎:一份用于预警的病例报告。

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-07-22 eCollection Date: 2024-07-01 DOI:10.1002/rcr2.1396
Hoa Do Thanh, Duc Vu Anh, Ghi Nguyen Hai, Duong Le Xuan
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引用次数: 0

摘要

一名怀孕 5 周的健康孕妇在感染流感 3 天后,因耐甲氧西林金黄色葡萄球菌(MRSA)引起的脓毒性休克和急性呼吸窘迫综合征而被送入重症监护室,情况十分危急。该病例中的患者因坏死性肺炎导致严重后遗症,后于入院后第 20 天死亡。我们希望提醒临床医生注意这种罕见但严重的诊断。关键是要立即开始适当的治疗,因为 MRSA 坏死性肺炎是由毒素介导的,一旦毒素释放出来,抗生素治疗就无法限制其作用。季节性流感感染后出现肺炎、败血症和中性粒细胞减少且症状进展迅速的年轻患者应考虑与 MRSA 相关的坏死性肺炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Community-acquired necrotizing pneumonia caused by methicillin-resistant Staphylococcus aureus in a healthy pregnant woman after being infected with influenza A: A case report for early warning.

A previously healthy woman, 5 weeks pregnant, was admitted to the intensive care unit in critical condition for septic shock and acute respiratory distress syndrome due to methicillin-resistant Staphylococcus aureus (MRSA) after being infected with Influenza for 3 days. The patient in this case suffered from severe sequelae due to necrotizing pneumonia and later died on the 20th day after admission. We would like to remind clinicians to be aware of this rare but serious diagnosis. The key is to begin appropriate treatment immediately because MRSA necrotizing pneumonia is mediated by toxins and once the toxins are released they cannot be limited by antibiotic treatments. Necrotizing pneumonia related to MRSA should be considered in young patients with pneumonia, sepsis, and neutropenia following seasonal influenza infection with rapidly progressive symptoms.

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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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