Clinical and Laboratory Characteristics of Patients with Nontuberculous Mycobacterium Bloodstream In

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:davidcao2008
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background:Nontuberculous Mycobacterium (NTM) bloodstream infection (BSI) is relatively rare.We aimed in this study to evaluate the clinical characteristics,laboratory evaluation,and outcomes of patients with NTM BSI.Methods:We retrospectively reviewed the clinical records of inpatients with NTM BSI at our institution between January 2008 and January 2015 and recorded clinical parameters including age,gender,underlying disease,clinical manifestation,organs involved with NTM disease,species of NTM,laboratory data,treatment and outcome of these patients.We also reviewed the reported cases and case series ofNTM BSI by searching PubMed,EMBASE,and Wanfang databases.Data of normal distribution were expressed by mean ± standard deviation (SD).Data of nonnormal distribution were expressed by median and interquartile range (IQR).Results:Among the ten patients with NTM BSI,the median age was 51 years (IQR 29-57 years) and three patients were males.Eight patients were immunocompromised,with underlying diseases including human immunodeficiency virus (HIV) infection (one patient),rheumatic diseases (two patients),breast cancer (one patient),myelodysplastic syndrome (two patients),and aplastic anemia (two patients).Other organ(s) involved were lung (two patients),endocardium (two patients),brain,spinal cord,and soft tissue (one each patient).The median lymphocyte was 0.66 × 109/L (IQR 0.24-1.93 × 109/L).The median cluster of differentiation 4 (CD4) cell count was 179/ mm3 (IQR 82-619/mm3).Five patients died (three with hematological diseases,one with breast cancer,and one with rheumatic disease),three recovered,and two were lost to follow-up.Conclusions:We reported all cases in our hospital diagnosed with bloodstream NTM infection that was rarely reported.In this group of patients,patients usually had a high fever and could have multiple organ involvements.All patients with poor prognosis had underlying diseases.
其他文献
笔者深信,一种新技术和新数据指引下的循证设计方法可以解锁有关人类空间感知与行为的新知。这样做的同时也将激发设计师的创造力并说服人们执行过去无法判断的决策。之所以
期刊
1概况在日本,我们可以找到许多案例来佐证新数据环境是如何影响人们的日常行为的。在出门前,考虑到最近日本多变的天气,人们通常会查看天气预报。而从日本气象厅的网站,你可
期刊
电磁铆接是一种将电磁能转化为机械能的铆接工艺。传统感应式低电压电磁铆接存在能量利用率低、难以解决高强度大直径铆钉和难成形材料铆钉的铆接等问题。基于自激励式电磁铆
目的进行慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)风险基因在中国汉族CRS人群中的验证性研究.方法选取2008年2月至2009年7月首都医科大学附属北京同仁医院CRS伴鼻息肉患者306例,CRS不伴鼻息肉患者332例及健康对照组315例作为研究对象.选择加拿大学者研究发现的与CRS显著相关的10个基因位点进行单核苷酸多态性(single nucleotide polym
数字化技术正在深刻影响着人们的生产方式和日常生活行为。如何应对数字化时代带来的机遇与挑战,是城市和建筑研究者的重要课题。以人为本的人本主义城市环境的营造为我们提出了新问题:人与环境存在着怎样的相互依存关系?依存于环境之中的人的空间感知和行为存在着怎样的规律?借用环境行为学的理论与方法是解决这些课题的重要方向。环境行为学起源于20世纪60年代,至20世纪
西北边境地区环境特殊,人员结构复杂,恐怖活动具有行动隐蔽、方式多样、袭击突然、范围跨国等特点。反恐作战与传统作战相比,具有明显的非对称性和非正规性特点,加之西北边境
患者入院是由健康角色到患者角色转换的开始,如何做好患者的入院护理,为患者带来良好的首因效应,尽快熟悉和适应医院的环境和生活,消除紧张焦虑恐惧等负性心理,适应角色转换,
Background:We aimed to evaluate the usefulness of serum hepatitis B virus core-related antigens (HBcrAg) for predicting hepatitis B e antigen (HBeAg) seroconver
介绍了俯仰机动载荷减缓(MLA)在某运输类飞机缩比风洞试验模型上的应用,旨在通过风洞试验研究一种基于超静定配平原理的机动载荷控制方法。首先,对模型飞机纵向超静定配平方
目的做好麻醉药品的使用管理工作,保证麻醉药品的合理使用,杜绝滥用和防止发生流弊。方法介绍本院对麻醉药品的管理措施和存在的一些问题进行分析,为麻醉药品的管理提供经验