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急性淋巴细胞白血病患儿反复解脲寡源杆菌感染1例报道并文献复习
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作者 官晓清 罗学群 +3 位作者 张巧玲 丘小汕 张映川 林苑 《中国小儿血液与肿瘤杂志》 CAS 2009年第2期79-81,共3页
目的提高对白血病患儿化疗中并发罕见细菌感染诊断及治疗的认识。方法报道1例急性淋巴细胞白血病患儿化疗中先后发生解脲寡源杆菌败血症和颅内感染的诊治经过并文献复习。结果诊断为急性淋巴细胞白血病(L1型,BⅢ型,标危),化疗中相隔数... 目的提高对白血病患儿化疗中并发罕见细菌感染诊断及治疗的认识。方法报道1例急性淋巴细胞白血病患儿化疗中先后发生解脲寡源杆菌败血症和颅内感染的诊治经过并文献复习。结果诊断为急性淋巴细胞白血病(L1型,BⅢ型,标危),化疗中相隔数月发生同一细菌(解脲寡源杆菌)3次感染,前两次为败血症,第三次为颅内感染并脑积水,随着自身免疫力的恢复,并联合抗感染及手术治疗治愈出院。相关文献示解脲寡源杆菌感染主要发生于全身或局部免疫功能低下的患者,全身系统性感染罕见,随着自身免疫力的提高,疾病似有自限性。结论不明原因长期发热的病例应警惕条件致病菌导致的特殊部位感染;治疗除了以体外药敏试验为依据,自身免疫功能的恢复也是感染控制的重要因素。 展开更多
关键词 白血病 淋巴细胞 急性 解脲寡源杆菌
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Middle ear microbiome differences in indigenous Filipinos with chronic otitis media due to a duplication in the A2ML1 gene
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作者 Regie Lyn P.Santos-Cortez Diane S.Hutchinson +15 位作者 Nadim J.Ajami Ma.Rina T.Reyes-Quintos Ma.Leah C.Tantoco Patrick John Labra Sheryl Mae Lagrana Melquiadesa Pedro Erasmo Gonzalo d.V.Llanes Teresa Luisa Gloria-Cruz Abner L.Chan Eva Maria Cutiongco-de la Paz John W.Belmont Tasnee Chonmaitree Generoso T.Abes Joseph F.Petrosino Suzanne M.Leal Charlotte M.Chiong 《Infectious Diseases of Poverty》 SCIE 2016年第1期889-897,共9页
Background:Previously rare A2ML1 variants were identified to confer otitis media susceptibility in an indigenous Filipino community and in otitis-prone US children.The goal of this study is to describe differences in ... Background:Previously rare A2ML1 variants were identified to confer otitis media susceptibility in an indigenous Filipino community and in otitis-prone US children.The goal of this study is to describe differences in the middle ear microbiome between carriers and non-carriers of an A2ML1 duplication variant that increases risk for chronic otitis media among indigenous Filipinos with poor health care access.Methods:Ear swabs were obtained from 16 indigenous Filipino individuals with chronic otitis media,of whom 11 carry the A2ML1 duplication variant.Ear swabs were submitted for 16S rRNA gene sequencing.Results:Genotype-based differences in microbial richness,structure,and composition were identified,but were not statistically significant.Taxonomic analysis revealed that the relative abundance of the phyla Fusobacteria and Bacteroidetes,and genus Fusobacterium were nominally increased in carriers compared to non-carriers,but were non-significant after correction for multiple testing.We also detected rare bacteria including Oligella that was reported only once in the middle ear.Conclusions:These findings suggest that A2ML1-related otitis media susceptibility may be mediated by changes in the middle ear microbiome.Knowledge of middle ear microbial profiles according to genetic background can be potentially useful for therapeutic and prophylactic interventions for otitis media and can guide public health interventions towards decreasing otitis media prevalence within the indigenous Filipino community. 展开更多
关键词 A2ML1 Indigenous population MICROBIOME Middle ear oligella Otitis media Philippines
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