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1.病例介绍 患者,男40岁。发热咳嗽三月,咯白色痰,左肺可闻及湿罗音。X线检查:左肺下叶有片状阴影,RBC3.4×10~(12)/L,WBC7.8×10~9/L,N0.78,L0.22。临床诊断支气管肺炎。痰培养分离出温和气单胞菌,较少见,经静脉点滴头孢唑啉钠等药物一周好转出院。 细菌鉴定:标本接种血平板,35℃24h培养后菌落呈圆形灰白色,表面光滑、湿润、略凸起,直径2mm左右,呈草绿色溶血环,镜下为革兰氏阴性短杆菌,两端钝圆,无芽胞,无荚膜。鞭毛染色(改良Ryu氏法)为单鞭毛。氧化酶(+)、葡萄糖发酵(+),甘露醇(+),鸟
1. Case presentation patients, male 40 years old. Fever Cough March, slightly white sputum, the left lung can be heard and wet rales. X-ray examination: the left lobe of the left lobe with a shadow, RBC3.4 × 10 ~ (12) / L, WBC7.8 × 10 ~ 9 / L, N0.78, L0.22. Clinical diagnosis of bronchial pneumonia. Sputum culture isolated mild Aeromonas, less common, intravenous infusion cefazolin sodium and other drugs a week out of the hospital. Bacterial identification: The samples were inoculated on blood plate, and the colonies were round and gray at 35 ℃ for 24 hours. The surface was smooth and moist with a slight bulge and a diameter of about 2 mm. The colonies showed a green haemolysis loop. Gram- Blunt circle, no spores, no capsule. Flagella staining (modified Ryu’s method) is a single flagella. Oxidase (+), glucose fermentation (+), mannitol (+), bird