脑膜败血性黄杆菌肺炎的抗生素治疗

ANTIBIOTIC TREATMENT FOR PNEUMONIA CAUSED BY FLAVOBACTERIUM MENINGOSEPTICUM

报告危重脑膜败血性黄杆菌（ＦＭ）肺炎２例，发病前均有慢性严重基础病史。８次痰培养及药敏试验结果提示ＦＭ对绝大多数抗生素（包括第三代头孢菌素）耐药。ＦＭ肺炎的临床表现与一般革兰阴性杆菌肺炎相似，但预后差。头孢吸酮、头孢磺吡苄、氨曲南、环丙氟哌酸为ＦＭ肺炎的有效治疗药物。

wo cases of critical nosocomial pneumonia caused by flavobacterium meningosepticum(FM)were reported and both of them were successfolly cured.There were 2 other cases of FM pneumonia re-ported In Chinese literature previously,but none of them survived. It has been found that the treatment for FM respiratory infection was very difficult because of its resistance to majority of antibiotics, in cluding the third generation cephalosporins.The symptoms of FM pneumonia are similar to those of other gram-negative bacillus pneumonias, such as Klebsiella pneumoniae pneumonia. Definite diognosis depends principally on etiological examination and clinical manifestations of pneumonia.Cefoperazone,Cefsulodin,Astreonam and Ciprofloxacin are valuable drugs in saving the lives of pa-tients with FM Pneumonia