Internal medicine (Tokyo, Japan) · 2012
Successful treatment of sepsis caused by Staphylococcus lugdunensis in an adult with 22q11.2 deletion syndrome.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hirasaki Shoji, Murakami Kazutoshi, Mizushima Takaaki, Ohmori Kazuyoshi, Fujita Seiko, Hanayama Yoshihisa, Kanamori Tatsuya, Yokota Ryo, Ebara Hirotaka, Kusano Nobuchika, Kudo Chieko, Yamaguchi Tomoko, Akagi Teiji, Koide Norio
Аннотация
A 27-year-old woman visited our hospital because of high fever. She had been diagnosed as 22q11.2 deletion syndrome (22q11.2DS) due to her cardiac history (tetralogy of Fallot), thymic hypoplasia and 22q11.2 deletion. She had a normal CD4/CD8 ratio, a slightly decreased lymphocyte count and normal serum immunoglobulin levels. Blood cultures were positive for Staphylococcus lugdunensis (S. lugdunensis). Infection route of S. lugdunensis in this case was unclear. The patient was successfully treated with several intravenous antibiotics. Infection should be considered when managing patients with 22q.11.2DS. regardless of whether their immune system is impaired.