{"title":"小苗兰斯菲尔德菌血症的临床处理:个案研究及文献回顾。","authors":"Cynthia Wenglinski, Delphine Martiny, Michael Watchi, Fabio Silvio Taccone, Charles-Hervé Vacheron","doi":"10.1016/j.ram.2025.06.004","DOIUrl":null,"url":null,"abstract":"<p><p>This report presented the case of a 55-year-old patient who was admitted to the intensive care unit following a ruptured bronchial arteriovenous malformation (AVM). The patient, with no significant medical history, experienced massive hemoptysis leading to cardiac arrest. After successful resuscitation and embolization of the AVM, the patient developed fever and acute respiratory distress syndrome, requiring deep sedation, muscle paralysis, and prone positioning. Blood culture sampled on the day of admission tested positive for Lancefieldella parvula on day 4. The patient received targeted antimicrobial therapy, resulting in a favorable hemodynamic and respiratory outcome. No source of the bacteremia was found. We reported the general management of this rare cause of bacteremia and provided a review of the existing literature.</p>","PeriodicalId":21163,"journal":{"name":"Revista Argentina de microbiologia","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical management of Lancefieldella parvula bacteremia: A case study and review of the literature.\",\"authors\":\"Cynthia Wenglinski, Delphine Martiny, Michael Watchi, Fabio Silvio Taccone, Charles-Hervé Vacheron\",\"doi\":\"10.1016/j.ram.2025.06.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This report presented the case of a 55-year-old patient who was admitted to the intensive care unit following a ruptured bronchial arteriovenous malformation (AVM). The patient, with no significant medical history, experienced massive hemoptysis leading to cardiac arrest. After successful resuscitation and embolization of the AVM, the patient developed fever and acute respiratory distress syndrome, requiring deep sedation, muscle paralysis, and prone positioning. Blood culture sampled on the day of admission tested positive for Lancefieldella parvula on day 4. The patient received targeted antimicrobial therapy, resulting in a favorable hemodynamic and respiratory outcome. No source of the bacteremia was found. We reported the general management of this rare cause of bacteremia and provided a review of the existing literature.</p>\",\"PeriodicalId\":21163,\"journal\":{\"name\":\"Revista Argentina de microbiologia\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Argentina de microbiologia\",\"FirstCategoryId\":\"99\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ram.2025.06.004\",\"RegionNum\":4,\"RegionCategory\":\"生物学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"MICROBIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Argentina de microbiologia","FirstCategoryId":"99","ListUrlMain":"https://doi.org/10.1016/j.ram.2025.06.004","RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MICROBIOLOGY","Score":null,"Total":0}
Clinical management of Lancefieldella parvula bacteremia: A case study and review of the literature.
This report presented the case of a 55-year-old patient who was admitted to the intensive care unit following a ruptured bronchial arteriovenous malformation (AVM). The patient, with no significant medical history, experienced massive hemoptysis leading to cardiac arrest. After successful resuscitation and embolization of the AVM, the patient developed fever and acute respiratory distress syndrome, requiring deep sedation, muscle paralysis, and prone positioning. Blood culture sampled on the day of admission tested positive for Lancefieldella parvula on day 4. The patient received targeted antimicrobial therapy, resulting in a favorable hemodynamic and respiratory outcome. No source of the bacteremia was found. We reported the general management of this rare cause of bacteremia and provided a review of the existing literature.
期刊介绍:
La Revista Argentina de Microbiología es una publicación trimestral editada por la Asociación Argentina de Microbiología y destinada a la difusión de trabajos científicos en las distintas áreas de la Microbiología. La Asociación Argentina de Microbiología se reserva los derechos de propiedad y reproducción del material aceptado y publicado.