一名透析患者的腦膜敗血伊莉莎白菌突破性菌血症

Breakthrough Elizabethkingia meningoseptica Bacteremia in a Hemodialysis Patient

腦膜敗血伊莉莎白菌被認為可以造成醫院院內感染，得到此一細菌感染的死亡率和併發症是相當高的，特別是免疫功能低下的病人。它通常對最常用的抗菌劑有抗藥性。我們報告了一個罕見的與脊椎椎間盤炎、椎旁膿腫和腰大肌膿腫相關的腦膜敗血伊莉莎白菌所引起的菌血症案例。儘管量身定制的抗菌治療和手術感染源控制，突破性菌血症仍然在此病人導致不良結果。

Elizabethkingia meningoseptica (E. meningoseptica) is associated with nosocomial infection and high mortality and morbidity, especially in immunocompromised patients. E. meningoseptica typically exhibits resistance to the antimicrobial agents. Herein we report a rare case of bacteremia caused by E. meningoseptica associated with spondylodiscitis, paraspinal abscess, and psoas muscle abscess. Despite antimicrobial therapy and surgical infection source control, breakthrough bacteremia continued to cause poor outcomes.