附睾炎并发嗜根考克菌血流感染1例及文献复习

One case of epididymitis complicated with Kocuria rhizophila bloodstream infection and literature review

  • 摘要: 嗜根考克菌为临床少见的条件致病菌,本文通过检索英文数据库Pubmed、Embase,中文数据库中国知网、万方、SinoMed、中国临床案例成果数据库,纳入符合标准的10例嗜根考克菌感染患者及本院收治的1例附睾炎并发嗜根考克菌血流感染患者的病历资料进行分析,总结11例患者临床特征、药物治疗方案等信息。本文研究表明,该菌感染主要存在于侵袭性操作的患者中;主要感染类型为血流感染、腹膜炎、心内膜炎、关节感染,除此之外亦可能导致附睾炎;该菌对万古霉素及四环素类药物敏感性较好,感染患者预后均较好。

     

    Abstract: Kocuria rhizophila is a rare opportunistic pathogen in clinical practice. English databases PubMed and Embase, and the Chinese databases CNKI, Wanfang, SinoMed, and the Chinese Clinical Case Repository were retrieved to include 10 patients with K. rhizophila infection that met the criteria and 1 epididymitis patient complicated with K. rhizophila infection who was treated in the hospital, the medical records of the patients were analyzed. The information regarding the clinical characteristics and drug treatment regimens of the 11 patients were summarized. The study in this article indicates that the species of infection mainly appear among the patients treated with invasive procedures. The bloodstream infection, peritonitis, endocarditis and joint infection were the major types of infections, and it may also lead to epididymitis. The bacterium is highly sensitive to vancomycin and tetracycline. All infected patients have good prognosis.

     

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