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A case of Pasteurella multocida pneumonia needed to differentiate from non-tuberculous mycobacteriosis

机译:需将一例多杀巴斯德氏菌肺炎与非结核分枝杆菌病区分开来

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We report a case of Pasteurella multocida pneumonia. A 71-year old Japanese woman with pulmonary infiltration of the lingual division of left lung 3 years before, which was thought to be caused by non-tuberculous mycobacteriosis (NTM) was referred to our clinic on account of chronic cough, sputum, dyspnea, and left pulmonary infiltration. Although she owned over 10 cats, no bites or scratches were mentioned. Pasteurella multocida was confirmed by the culture of the patient’s bronchoalveolar lavage (BAL) fluid. NTM infection was ruled out by acid-fast bacillus smears, cultures, and polymerase chain reaction of three sputum specimens and BAL fluid. The infection route in this case was considered to have resulted from inhalation of contaminated aerosols or contact with her cats. Close contact with animals should be avoided, particularly for patients with chronic pulmonary diseases, as it is a risk factor for pneumonia due to Pasteurella multocida .
机译:我们报告一例多杀性巴氏杆菌性肺炎。一名71岁的日本妇女3年前因左肺舌部肺部浸润被认为是由非结核分枝杆菌病(NTM)引起的,由于慢性咳嗽,痰,呼吸困难,和左肺浸润。尽管她拥有10多只猫,但没有提到任何咬伤或抓伤。患者的支气管肺泡灌洗液(BAL)的培养证实了巴氏杆菌。 NTM感染是通过抗酸杆菌涂片,培养以及三个痰标本和BAL液的聚合酶链反应而排除的。在这种情况下,感染途径被认为是由于吸入污染的气溶胶或与猫接触造成的。应避免与动物的紧密接触,尤其是对于患有慢性肺部疾病的患者,因为它是多杀性巴氏杆菌引起的肺炎的危险因素。

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