A case of urinary tract infection caused by Kluyvera ascorbata in an infant: case report and review of the literature

We experienced a case of urinary tract infection in a 3-month-old child caused by Kluyvera ascorbata. The authors report the case and review the literature regarding Kluyvera urinary tract infection exclusively in children. Kluyvera infection, which had been extremely rare, has increasingly been reported, including urinary tract infection. A prompt identification of Kluyvera species in clinical infections is important. Recognition of its disease-producing potential and the subsequent initiation of effective antimicrobial coverage are essential for appropriate management in the pediatric population.     

鼻疽分枝杆菌致肺部感染一例

正非结核分枝杆菌(nontuberculosis mycobacteria,NTM)是结核分枝杆菌复合群和麻风分枝杆菌以外的分枝杆菌的统称,目前已有150多种,证实与人类疾病相关的NTM有近50种,主要引起肺部感染[1]。全国结核病流调显示NTM在分枝杆菌分离株的占比由4.2%(1984—1985年)增长至22.9%(2010年)[2-3]。鼻疽分枝杆菌(Mycobacterium farcinogenes)是临床少见的NTM,属于快速生     

Fatal meningococcal meningitis in a 2-year-old child:A case report

BACKGROUND In fatal cases of meningococcal septicemia, bacteriological diagnosis may not be straightforward due to postmortem replication and relocation of endogenic microflora. In medicolegal practice, aside from routine autopsy and histopathology, also other diagnostic methods, such as microbiological tests,immunohistochemistry and polymerase chain reaction(PCR), are used to examine body fluids and tissues.CASE SUMMARY We present the case of sudden death in a 2-year-old child. The patient died approximately 30 min after hospital admission before any routine diagnostic procedures were undertaken. Presence of whole-body rash and fulminant course of the disease raised suspicion of meningococcal septicemia. An autopsy was performed seven days after death when the body showed the signs of late postmortem decomposition. No etiological factor of septicemia could be identified based on macro-and microscopic findings. However, PCR demonstrated the presence of genetic material of group W Neisseria meningitidis in patient's cerebrospinal fluid and blood.CONCLUSION Microbiological PCR should be conducted postmortem whenever a specific etiological factor could not be identified with conventional methods.     

Urosepsis caused by Globicatella sanguinis and Corynebacterium riegelii in an adult: case report and literature review

We report an extremely rare case of urosepsis caused by Globicatella sanguinis and Corynebacterium riegelii coinfection in a 94-year-old Japanese man with nephrolithiasis. Prompt identification of this coinfection is important so that effective antimicrobial coverage can be initiated.     

Analysis of cross infection using genomic fingerprinting in nosocomial urinary tract infection caused by Enterococcus faecalis

To evaluate cross infection and a possible outbreak of Enterococcus faecalis urinary tract infection (UTI) in our urology ward, we studied the DNA fingerprinting of E. faecalis strains isolated from nosocomial UTI patients, in the period 1982–1996, using arbitrarily primed polymerase chain reaction (AP-PCR) analysis. The serovar and amplified products of DNA extracted from clinically isolated urinary E. faecalis strains by the AP-PCR method were analyzed, and the respective isolation periods of E. faecalis-positive UTI patients were investigated. There were nine patients with E. faecalis UTI between March and May 1994 and all strains isolated from their urine specimens were serovar type 7. AP-PCR revealed that five of the nine isolates had the same pattern. It appeared that these strains had caused the outbreak of E. faecalis UTI. Cross-infection between patients with E. faecalis UTI was demonstrated by genomic fingerprinting, suggesting that cross infection had occurred via urinary catheters or by hand contact in our ward. We may, therefore, reasonably conclude that we should beware of the transmission of urinary E. faecalis and take countermeasures against its dissemination. Received: April 8, 1998 / Accepted: October 14, 1998     

留置导尿引起尿路感染的原因及对策

介绍了留置导尿引起尿路感染的常见原因及对策,提示临床护理人员应严格掌握适应证,加强无菌观念,缩短留置尿管时间,合理使用抗生素。     

留置导尿引起尿路感染的原因及对策

介绍了留置导尿引起尿路感染的常见原因及对策。提示临床护理人员应严格掌握适应证，加强无菌念，缩短留置尿管时间。合理使用抗生素。     

Recurrent urinary tract infection associated with SGLT‐2 inhibitor in type 2 diabetes mellitus patient: A case report

A high index of clinical suspicion of urinary tract infections due to empagliflozin use should be maintained in T2DM patients to avoid progression to life‐threatening condition.     

2015年某医院儿童呼吸道感染病原学特征分析

目的：比较并分析甘肃省妇幼保健院儿童呼吸道感染常见病原体的检出情况,为临床准确诊断、合理治疗提供依据。方法收集2015年1～12月甘肃省妇幼保健院6032例急性呼吸道感染的患儿标本,采用免疫斑点试验技术检测其血清中6种常见呼吸道病原体早期特异性抗体IgM：腺病毒（ADV）、流感病毒（IV）、副流感病毒（PIV）、呼吸道合胞病毒（RSV）、肺炎支原体（MP）、肺炎衣原体（CP）。分析患儿感染模式,以及不同年龄、季节、性别等感染情况的差异。结果6032例感染的标本中有2279例阳性,阳性率为37．8％。6种呼吸道病原体的阳性率依次为：ADV12．2％、IV9．6％、CP7．9％、MP4．6％、RSV3．0％、PIV0．3％。呼吸道病原体检出率在春、夏季节较高;1～3岁和4～6岁组阳性率高。结论该院儿童呼吸道感染常见病原体以ADV为主,其次是IV,其感染具有明显的季节性;支原体和衣原体也是呼吸道感染常见病原体,主要有MP和CP。     

Recurrent urinary tract infection with antibiotic‐resistant Klebsiella pneumoniae in a patient with Crohn's disease: A case report

Recurrent urinary tract infections with resistant strains of Klebsiella pneumoniae are a potential complication of the long‐term use of immunosuppressive therapy in patients with Crohn''s disease.     

慕尼黑分枝杆菌引起术后伤口感染1例附文献复习

目的报道1例由慕尼黑分枝杆菌引起术后伤口感染病例。方法对1例慕尼黑分枝杆菌引起术后感染患者的临床表现、实验室检查结果、治疗及预后进行分析,并以"Mycobacterium monacense"和"慕尼黑分枝杆菌"为关键词,检索Pubmed和维普数据库2006-2019年关于慕尼黑分枝杆菌引起感染的文献,筛选并总结分析患者的临床资料及该菌的药敏结果。结果该例55岁男性患者以神经鞘瘤术后3个月,颈背部红肿流脓7d为主要表现,CT检查显示颈椎术后,后颈部软组织内广泛感染。伤口分泌物结核培养出分枝杆菌,经测序提示为慕尼黑分枝杆菌,结核T淋巴细胞酶联免疫斑点试验(T-SPOT.TB)有反应性,经规则治疗后痊愈,考虑慕尼黑分枝杆菌所致术后伤口感染。通过文献复习并结合本例患者,目前全世界共有7篇文章10个病例报道,其中男性3例,女性4例,3例性别不明,年龄11~82岁,主要临床表现为呼吸系统感染5例、外伤史2例和皮肤反复感染1例;标本类型:6例呼吸道标本,3例组织标本,1例脑脊液标本;2例有明确的诊疗过程,其余未提及;规律用药后,预后良好。结论从手术感染部位分离出慕尼黑分枝杆菌,快速分子生物学进行菌种鉴定,手术切除感染部位及抗菌药物的联合运用可提高疾病治愈率,预后良好。     

Lower gastrointestinal tract bleeding caused by dieulafoylike lesion synchronous meckel diverticulum: A rare case report

Meckel diverticulum is an embryonic remnant of the Gastrointestinal duct which causes symptoms 5% in the 2% population. Painless bleeding and abdominal pain are the most often reported symptoms. Dieulafoy lesion/dieulafoy-like lesion often cause upper gastrointestinal(GI) tract bleeding, but massive lower gastrointestinal bleeding is rare. We reported a 19-year-old male presented massive lower GI tract bleeding caused by Meckel diverticulum synchronous dieulafoy-like lesion.     

Disseminated Mycobacterium bovis infection after deceased donor liver transplantation: A case report

This case demonstrates the significance, and ongoing relevance of mycobacterial infections, especially in patients who have recently been started on immunosuppression.     

Catheter-associated urinary tract infection: a review

Summary

• ? Catheter-associated urinary tract infection is still one of the most challenging aspects pf clinical practice, not only for professionals who work in the area of infection control, but for all who care for patients.
• ? Urethral catheters may be used to promote post-operative repair, relieve anatomical or physiological obstruction and provide an accurate measure of urinary output.
• ? Catheters also have a part to play in the management of intractable urinary incontinence, but admittedly less so than 10 years ago, as we now have alternative techniques and appliances, such as intermittent self catheterization (ISC), penile sheaths and an extensive range of incontinence pads.
• ? This paper reviews recent developments in catheterization and catheter care intended to prevent or alleviate urinary tract infections and associated problems.

     

Urinary tract infection due to Group B Streptococcus: A case series from Eastern India

Group B Streptococcus (GBS) or Streptococcus agalactiae is an uncommon causative agent of urinary tract infection (UTI). We present a series of seven cases of UTI due to GBS from a tertiary care hospital of Eastern India, highlighting its emerging role in a hitherto less commonly described clinical entity.