【摘 要】
：
一位散居10岁男孩,因咽喉疼痛、发热就医,经乡医治疗无明显效果,后经县级、市级、省级医院诊断治疗,均不能排除白喉,采集咽部灰白色假膜拭子进行细菌培养,结果发现大量棒状杆
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一位散居10岁男孩,因咽喉疼痛、发热就医,经乡医治疗无明显效果,后经县级、市级、省级医院诊断治疗,均不能排除白喉,采集咽部灰白色假膜拭子进行细菌培养,结果发现大量棒状杆菌和链球菌混合生长,经鉴定为溶血隐泌杆菌并为优势菌。由此判定,该病例为以溶血隐泌杆菌为主的细菌混合感染,患者后因心肺功能衰竭死亡。提示在诊疗过程中,不能确定病原体的感染性疾病,应注重流行病学调查,加强实验室检测,拓宽诊断思维。
A 10-year-old boy who was diaspora was treated for fever because of sore throat and fever. After treatment by a village doctor, there was no obvious effect. After the diagnosis and treatment at the county, municipal and provincial hospitals, diphtheria was not excluded and the pharyngeal pseudomembranous swab was collected Bacterial culture, the results found that a large number of mixed growth of Corynebacterium and Streptococcus, identified as hemolytic bacillus and dominant bacteria. From this, the case was confirmed by mixed bacterial infection with Cryptobacillus haemolyticus, which died after cardiopulmonary failure. Tip in the diagnosis and treatment process, can not determine the infectious pathogens of pathogens, should pay attention to epidemiological investigations, to strengthen laboratory testing, broaden the diagnostic thinking.
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