Nongenitourinary infections caused by Mycoplasma hominis in adults.
Nongenitourinary infections caused by Mycoplasma hominis in adults.
复制标题
成人人型支原体引起的非泌尿生殖系统感染。
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
D. Hooper
中科院分区：
文献类型：
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作者：
S. Madoff;D. Hooper
11例新的人型支原体感染发生在成人泌尿生殖道外，而不是在产褥期进行了评估，与以前报告的25例。菌血症病例（n = 14）通常与泌尿生殖道创伤或操作相关，且通常为自限性。伤口感染（n = 14）在大多数情况下在手术后4-14天发生，可能由泌尿生殖道或呼吸道污染引起。关节感染（n = 5）似乎是由某些病例中的菌血症接种引起的，特别是影响假体关节。最不常见的是中枢神经系统感染（1例脑膜炎和2例脑脓肿）和呼吸道感染（3例脓胸）。绝大多数患者有发热，感染的液体收集通常是化脓性的。在许多情况下，对治疗的反应很难评估，但对四环素，克林霉素和引流单独观察。M.的鉴定人类需要细菌学实验室的临床怀疑和警觉。
Eleven new cases of Mycoplasma hominis infection occurring outside the genitourinary tract in adults not in the puerperium were evaluated in relation to the 25 cases previously reported. Cases of bacteremia (n = 14) were commonly associated with trauma or manipulation of the genitourinary tract and were often self-limited. Wound infections (n = 14) followed surgery by 4-14 days in most cases and may have arisen from contamination from the genitourinary or respiratory tract. Joint infections (n = 5) appeared to have resulted from bacteremic seeding in some cases and affected prosthetic joints in particular. Least frequent were central nervous system infections (one case of meningitis and two of brain abscess) and respiratory tract infections (three cases of empyema). The large majority of patients had fever, and infected fluid collections were commonly purulent. The response to therapy was difficult to assess in many cases, but responses to tetracycline, clindamycin, and drainage alone were observed. Identification of M. hominis requires clinical suspicion and alertness on the part of the bacteriology laboratory.
治疗后人型支原体的持续存在：四环素耐药性和共存阴道菌群的重要性。
影响因子：
3.1
作者：
Koutsky,LA;Stamm,WE;Brunham,RC;Stevens,CE;Cole,B;Hale,J;Davick,P;Holmes,KK
通讯作者：
Holmes,KK