痰标本中检出皮氏罗尔斯顿菌1例

One Case of Ralstonia pieteri Was Detected in Sputum Specimen

摘要: 本文报道了一例后循环缺血老年患者院内感染，痰培养出皮氏罗尔斯顿菌的病例，同时进行了相关文献复习。该患者为一名61岁的男性，被诊断为后循环缺血合并肺部感染，转入重症监护室后细菌培养中发现呼吸道样本中存在皮氏罗尔斯顿菌。经过详细的临床和实验室评估，确认了皮氏罗尔斯顿菌感染的诊断。在治疗过程中，患者接受了美罗培南治疗方案，取得了良好的疗效。本案例强调对于老年重症患者容易出现皮氏罗尔斯顿菌感染认识的重要性，临床医生需要加深对皮氏罗尔斯顿菌的流行病学、临床特征、治疗方案以及预后情况的理解，检验医生应提高病原学检测水平，提高皮氏罗尔斯顿菌检测的阳性率。

Abstract: This paper reports a case of nosocomial infection and sputum culture of Rolstonia pili in an elderly patient with post-circulation ischemia. The patient, a 61-year-old man diagnosed with posterior circulatory ischemia combined with a lung infection, was transferred to the intensive care unit after bacterial cultures revealed the presence of Rolstonia pili in respiratory samples. After a detailed clinical and laboratory evaluation, the diagnosis of Rolstonia pieteri infection was confirmed. In the course of treatment, the patient received meropenem treatment regimen and achieved a good effect. This case highlights the importance of understanding that elderly patients with severe disease are prone to infection with Rolstonia pictori. Clinicians need to deepen their understanding of the epidemiology, clinical characteristics, treatment plan and prognosis of Rolstonia pictori, and laboratory doctors should improve the level of etiological detection and increase the positive rate of detection of Rolstonia pictori.