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牛莫拉氏菌(M,bovis)引起人类感染在国内尚未见报道,我们于1985年7月在同一病人的两份胸腔脓液中先后分离出牛莫拉氏菌,现报告如下:患者,男,56岁。1985年6月10日感左胸疼,低热,24日住院,诊断左侧胸膜炎伴肺不张,自细胞总数及中性粒细胞均明显增高,胸腔穿刺抽出黄色液体.其中自细胞2000,中性85%。经青霉素,氯霉素,链霉素,异烟肼,激素等治疗,体温一度下降,症状缓解,胸水吸收。但未及一周又畏寒,高热达39℃,左胸疼剧咳,咯大量血性脓痰,左肿中下部叩诊浊音,呼吸音明显降低。胸片示左肺中部炎性阴影,1.5×2 cm 大小,边缘欠清晰,左下心缘旁有脓腔液平4 cm,左侧位片位于后下方。白细胞总数15200,中性85%,1:2000T(-),ESR118mm/h,痰涂片找抗酸杆菌3
Moraxella bovis (M, bovis) caused by human infection has not been reported in the country, we in July 1985 in the same patient’s two pleural pus have isolated M. bovis, are reported as follows: patients, Male, 56 years old. June 19, 1985 left chest pain, fever, hospitalized on the 24th, the diagnosis of left pleurisy with atelectasis, since the total number of cells and neutrophils were significantly increased, pleural puncture out of the yellow liquid. Sex 85%. After penicillin, chloramphenicol, streptomycin, isoniazid, hormones and other treatment, once the body temperature dropped, symptoms relieved, pleural effusion. But less than a week and chills, fever up to 39 ℃, left chest pain and cough, slightly bloody purulent sputum, left middle and lower percussion dullness, respiratory sounds significantly reduced. Chest radiograph showed the middle of the left lung inflammatory shadow, 1.5 × 2 cm size, the edge is not clear, next to the lower edge of the edge of the abscess level 4 cm, left flank located in the bottom. Leukocytes 15200, 85% neutral, 1: 2000T (-), ESR118mm / h, sputum smear to find acid-fast bacilli 3