异基因造血干细胞移植术后合并脊柱嗜麦芽窄食单胞菌感染1例  

A case report of spinal infection caused by Stenotrophomonas maltophilia following allogeneic hematopoietic stem cell transplantation

作　　者：林丽[1] 叶佩佩[1] 李双月[1] 于朱若涵 LIN Li;YE Peipei;LI Shuangyue;YU Zhuruohan(Department of Hematology,the Affiliated People's Hospital of Ningbo University,Ningbo,Zhejiang 315000,China)

机构地区：[1]宁波大学附属人民医院血液科,浙江宁波315000

出　　处：《中华全科医学》2024年第8期1446-1448,共3页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2024KY1602)。

摘　　要：本文报道1例急性髓系白血病(acute myeloid leukemia,AML)异基因造血干细胞移植(allogeneic hematopoietic stem cell transplantation,allo-HSCT)术后患者,以反复腰痛为临床表现,经过多次腰椎穿刺活检及病原学检查,最终通过宏基因组二代测序(metagenomic next-generation sequencing,mNGS)确诊为脊柱嗜麦芽窄食单胞菌感染,经复方磺胺甲噁唑片联合左氧氟沙星治疗获得成功。We report a case of acute myeloid leukemia(AML)that developed after allogeneic hematopoietic stem cell transplantation(allo-HSCT),initially presenting as recurrent low back pain.The patient was finally diagnosed with a spinal Stenotrophomonas maltophilia infection by metagenomic next-generation sequencing(mNGS)and was successfully treated with a combination of compound sulfamethoxazole tablets and levofloxacin.

关 键 词：造血干细胞移植 嗜麦芽窄食单胞菌 脊柱感染 

分 类 号：R379.9[医药卫生—病原生物学]