Xanthomonas maltophilia pneumonia
Introduction
Introduction to Xanthomonas maltophilia pneumonia It is also known as S. maltophilia, which has become a common disease of respiratory diseases in recent years and has its clinical features. There are fever, cough, chest pain, and most of the patients over 60 years old have poor immune function. basic knowledge The proportion of illness: 0.002% Susceptible people: no special people Mode of infection: contagious Complications: sepsis shock
Cause
The cause of Xanthomonas maltophilia pneumonia
1. S. maltophilia, also known as S. maltophilia, has become a more common strain of respiratory diseases in recent years.
2. Second only to Escherichia coli, Pseudomonas aeruginosa, Klebsiella, Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae and the like.
Prevention
Prevention of Xanthomonas maltophilia pneumonia
There is no effective preventive measure for this disease. Early detection and early diagnosis are the key to the prevention and treatment of this disease.
Complication
Complications of Xanthomonas maltophilia pneumonia Complications septic shock
Combined with septic shock and multiple organ failure.
Symptom
Symptoms of Xanthomonas maltophilia pneumonia Common symptoms granulocytopenia cyanosis abscess breath sounds low snoring gas chest nodules
A group of 24 patients were reported, 18 males and 6 females, with an average age of 58.17 years (1 year, 5 months to 79 years), and 14 cases (58.3%) older than 60 years old.
Symptoms: 11 cases of fever (8 cases above 38 °C), 20 cases of cough, 9 cases of cough and white sputum, 10 cases of jaundice, 9 cases of phlegm, 10 cases of sputum, 17 cases of asthma, 4 cases of chest pain, low appetite 1 example.
Body (special) signs: 13 cases of sputum, 15 cases of cyanosis, 3 cases of clubbing, 2 cases of oliguria, 5 cases of low breath sounds, 2 cases of edema.
The characteristics of this pneumonia were seen from 30 cases of Yao's and 33 cases of Wang's and 24 cases of the author:
1 The age of infection can be seen from young children to advanced age, but most people are over 60 years old.
2 Most patients have a basic disease that is difficult to cure with poor immune function.
3 The pathogen can be obtained both in the society and in the hospital.
4 There is no special clinical manifestation of the lower respiratory tract infection of this bacteria.
5 chest radiographs have no special performance, patch shadows are more common.
6 test liver and kidney dysfunction in many, but patients have more than basic diseases, it is difficult to distinguish what caused.
7 treatment is difficult, antibiotic resistance rate is high, and the curative effect is poor.
8 The prognosis was poor. In the author's 24 cases, 1 case was cured, 14 cases were improved, 7 cases were related to infection, 2 cases were discharged from the hospital in critical condition, and 17 cases of sustained neutropenia in 26 cases of Vartivarian, septic shock or There were 9 cases of multiple organ failure, and another feature was the presence of 5 cases of sinusitis (nasal paranasal sinus) and pneumonia (sinus pneumonia syndrome).
Examine
Examination of Xanthomonas maltophilia pneumonia
White blood cell classification counts Among the 26 cases of Vartivarian, there were 17 cases of persistent neutropenia. The bacterial cultures were mostly complex strains, bacteria and fungi.
X-ray chest radiographs were mostly patchy segmental pneumonia or unilateral lobar pneumonia in the early stage, and some progressed into multiple nodular infiltration of the lungs (6 cases). In the author's 24 cases, 16 cases of plaque shadow, rough texture There were 8 cases of confusion, 4 cases of spherical shadow and abscess, 1 case of cavities and 2 cases of pneumothorax.
Diagnosis
Diagnosis and identification of Xanthomonas maltophilia pneumonia
diagnosis
The chest radiograph has not been described before, but the Vartivarian case is indeed polymorphous. Most of the early cases are patchy segmental pneumonia or unilateral lobar pneumonia, and some progress to multiple nodular infiltration of the lungs (6 For example, in the author's 24 cases, 16 cases were plaque, 8 cases were rough texture, 4 cases were spherical shadow and abscess, 1 case was hollow, and 2 cases were pneumothorax.
Bacterial cultures are mostly complex strains, bacteria and fungi, which need to be quantitatively cultured and combined with disease analysis to determine whether they are pathogenic bacteria.
Differential diagnosis
The strain has become one of the methods for screening and identifying the natural resistance habits of Taineng.
