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首页> 外文期刊>Emerging Infectious Diseases >Wohlfahrtiimonas chitiniclastica Bacteremia in Homeless Woman
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Wohlfahrtiimonas chitiniclastica Bacteremia in Homeless Woman

机译：流浪妇女中的Wohlfahrtiimonas chitiniclastica细菌血症

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To the Editor: In May 2006, a 60-year-old homeless woman with a history of alcoholism was admitted to the emergency department of the Con-ception Hospital, Marseille, France. Firefighters had just found her in an abandoned container in the outskirts of the city, beside the body of her com-panion, who had died several days ear-lier. She described no symptoms other than fatigue. On examination, she was found to be dirty and covered with thousands of body and hair lice; doz-ens of insect larvae were in her hair. She was mildly febrile (38°C) and had widespread excoriations but no sign of localized bacterial infection. Head shaving exposed superficial ulcers on her scalp but no maggots. Blood analysis showed marked neutropenia (0.44 ×109/L), thrombocytopenia (28 × 109/L), a marked but well-tolerated iron deficiency anemia (hemoglobin 6.8g/dL), and a C-reactive protein level of 182 mg/L. Louse infestation was treated with a single dose of iver-mectin (12 mg), and the woman was hospitalized. On day 3, she was still febrile. Louse-borne borreliosis had been ruled out by a negative blood smear, and results of serologic testing and molecular screening of lice for the other 2 louse-transmitted bacteria, Rickettsia prowazekii and Bartonella quintana (1), were negative
机译：致编辑：2006年5月，一名60岁有酗酒史的无家可归妇女被送入法国马赛概念医院急诊室。消防人员刚刚在城市郊区一个废弃的容器中发现了她，她的同伴尸体旁边已经死了，几天前她已经死亡。除了疲劳，她没有其他症状。经检查，发现她很脏，身上覆盖着成千上万的虱子和虱子。昆虫幼虫在她的头发里呆着。她轻度发热（38°C），有广泛的异常现象，但没有局部细菌感染的迹象。剃头可暴露出头皮上的浅表溃疡，但没有虫。血液分析显示中性粒细胞减少症（0.44×109 / L），血小板减少症（28×109 / L），明显但耐受性良好的铁缺乏性贫血（血红蛋白6.8g / dL）和C反应蛋白水平为182 mg / L L.用单剂量的依维菌素（12毫克）治疗虱子成虫，该名妇女住院。在第3天，她仍然发热。阴性的血液涂片检查排除了由虱子引起的疏螺旋体病，其他两种由虱子传播的细菌，立克次氏体立克次氏体和昆图巴尔通体（1）的血清学检测和虱子分子筛查结果均为阴性

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