Case of Mycobacterium mucogenicum in a home hemodialysis patient
Case of Mycobacterium mucogenicum in a home hemodialysis patient
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DOI：
10.1111/hdi.12574
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发表时间：
2017-10-01
影响因子：
1.3
通讯作者：
Chan, Christopher T.
中科院分区：
文献类型：
--
作者：
Dhruve, Miten J.;Bunce, Paul E.;Chan, Christopher T.
我们报告一位居家血液透析的病患发生黏液分枝杆菌菌血症。虽然这种特殊微生物的感染很罕见，但已报告了播散性感染，并与显著的发病率和死亡率相关。诊断需要适当的培养，了解生物体的自然栖息地和完整的环境分析，包括血液，透析样品端口，反渗透和进水供应培养。患者通过全身抗生素、中心静脉导管移除、患者教育和完全更换血液透析回路成功治疗。
We present a case of a patient on home hemodialysis who developed Mycobacterium mucogenicum bacteremia. While infections with this particular organism are rare, disseminated infections have been reported and have been associated with significant morbidity and mortality. Diagnosis required appropriate cultures, understanding of natural habitat of organism and complete environmental analysis including blood, dialysis sample port, reverse osmosis and incoming water supply cultures. The patient was treated successfully with systemic antibiotics, removal of central venous catheter, patient education and complete exchange of the hemodialysis circuit.