社区获得性草螺菌肺炎1例及文献复习

Community Acquired Helicobacter Pneumonia:A Case Report And Literature Review

目的 目前国内对草螺菌所致的肺炎的病例报道较少,本文通过分析总结治疗Ⅰ例社区获得性草螺菌肺炎患者的经验,对该病的诊断、治疗进行分析和探讨,为临床提供借鉴。方法 将我科诊断1例草螺菌肺炎患者在的诊断、治疗等过程与已有相关报道进行对比,查阅相关的文献,结合此例患者的临床特点、实验室检查等情况,探讨临床对草螺菌感染疾病的诊疗方法。结果 通过宏基因测序技术(mNGS)提示为草螺菌属胡特草螺菌感染,在明确病原体后,实施精准抗感染治疗,病情痊愈。结论 草螺菌所致肺炎临床表现不典型,病原体不易被鉴别,实施宏基因测序技术在病原学快速诊断中具有重要的意义,早期积极治疗防止不良反应的发生。

Objective At present,there are few reports on the pneumonia caused by helicobacter spirulae in China.This paper analyzed and summarized the experience of treating one case of community-acquired helicobacter spirulae pneumonia,analyzed and discussed the diagnosis and treatment of the disease,and provided reference for clinical practice.Methods The diagnosis and treatment process of a patient diagnosed with helicobacter spirillae pneumonia in our department was compared with existing relevant reports,relevant literature was consulted,and clinical diagnosis and treatment methods of helicobacter spirillae infection were discussed in combination with the clinical characteristics and laboratory examination of the patient.Results Through metagenomic nextgeneration sequencing(mNGS),the infection was suggested as Helicobacter huteriae.After the pathogen was identified,precise anti-infection treatment was carried out and the disease recovered.Conclusion The clinical manifestations of helicobacter spirulae pneumonia are not typical,and the pathogens are not easy to be identified.The implementation of macro factor metagenomic nextgeneration sequencing is of great significance in the rapid diagnosis of etiology,and early active treatment to prevent the occurrence of adverse reactions.