社区获得性耐甲氧西林金黄色葡萄球菌肺炎1例并文献复习

Community-acquired methicillin-resistant Staphylococcus aureus pneumonia:a case report and literature review

熟知社区获得性耐甲氧西林葡萄球菌(CA-MRSA)肺炎的临床特点,通过临床特点、影像学表现、分子生物学检测等手段,能够进一步提高临床医生对CA-MRSA精准诊治。收集潍坊医学院附属医院急诊科2022年11月6日收治的1例CA-MRSA临床特点、影像学资料、痰培养、血培养、分子生物学检测结果,并对其进行回顾性分析与探究。结合患者临床表现、影像学、痰培养、血培养、分子生物学检测结果诊断为CA-MRSA,经过经验性治疗半个月患者病灶明显吸收,好转出院。CA-MRSA的诊疗需临床、影像、微生物室密切配合,全面分析,经验性选择合理的抗生素,降低病死率、提高患者的治愈率。

Knowing the clinical characteristics of community-acquired methicillin-resistant staphylococcus aureus(CA-MRSA)can improve clinicians’accurate diagnosis and treatment of CA-MRSA.The clinical characteristics,imaging data,sputum culture,blood culture,and molecular biology test results of a case of CA-MRSA admitted to the Emergency Department of the Affiliated Hospital of Weifang Medical University on November 6,2022 were collected and analyzed retrospectively.Combined with the patient’s clinical manifestations,imaging,sputum culture,blood culture,and molecular biology test results,the patient was diagnosed with CA-MRSA.After empirical treatment,the patient’s focus was obviously absorbed,and the patient was discharged after improvement.The diagnosis and treatment of CA-MRSA needs the close cooperation of clinical,imaging,and microbiological laboratories,comprehensive analysis,and empirical selection of reasonable antibiotics to reduce the mortality of patients as well as improve the cure rate of patients.