Oposa 40 ali ndi kachilombo, pafupifupi 15 afa, ali ndi mabakiteriya omwe sitidziwa zambiri za - Elizabethkingia anophelis.
Onse amene ali ndi kachilomboka akhala akuluakulu ku Wisconsin, makamaka okalamba. Ambiri akhala ali ndi zaka zoposa 65 ndipo adanenedwa kukhala ndi matenda ena. Ena anali m'mabanja okalamba, ena m'mzipatala. Sizodziwika kuti matenda omwe analipo kale komanso kuchuluka kwa kachilombo ka bakiteriya kwawathandiza bwanji kuti aphedwe.
Sikuwoneka kuti ndi vuto kwa anthu omwe ali ndi thanzi labwino komanso kunja kwa malo osamalira. Akatswiri odwala matenda opatsirana m'magulu ndi ogwira ntchito labu - ochokera ku boma ndi CDC - akuyesera kuzindikira momwe izi zikuchitikira.
Elizabethkingia anophelis Zotsatira
Matendawa amabweretsa chiwindi, kupuma pang'ono, kutentha, ndi matenda a khungu - cellulitis - zomwe zimaphatikizapo malo opweteka komanso nthawi zina opangidwa ndi khungu. Wapezeka m'magazi a odwala ndipo wapanga chithunzi chachipatala cha sepsis.
Nthawi zina chifukwa chakuti wodwalayo alibe thanzi labwino, sizikudziwikanso ngati matenda a Elizabethkingia ndi colonizer - mabakiteriya amene amapeza popanda kuchititsa matenda; kwa wina yemwe akudwala kale kuchipatala, ndi kovuta kuti adziwe ngati izi zili zovuta kapena zovuta. Ngati si khooni, kodi kachilomboka kamapanga ndalama zochuluka bwanji? Zikuwoneka kuti mabakiteriyawa, ngakhale amawoneka ngati colonizer kumadera ena, akuwongolera yekha kuwonongeka kumeneku ku Wisconsin.
Mabakiteriya amachititsa kuti anthu adwale - kapena odwala (amaukira makamaka omwe akudwala kale).
Kudziwa
Kuyeza kwa ma microbology ndikofunika kuti mudziwe ngati matendawa amayamba chifukwa cha Elizabethkingia anophelis.
Ngati mabakiteriya amapezeka m'magazi kapena thupi linalake, mchere wa thupi ungagwiritsidwe ntchito kukula mabakiteriya mu laboratori.
Mabakiteriya amakula pamabotolo osiyanasiyana a ma laboratory omwe ali ndi zinthu zosiyanasiyana, kuti awone komwe mabakiteriya amakulira komanso kumene sungakule, pamodzi ndi mayesero ena, motero amadziwika kuti mabakiteriya alipo.
Vuto ndiloti mabakiteriya osakwanira sangakhale ovuta kudziwika. Kudziwika sikuli nthawi yomweyo. N'zosavuta kuyamba choyamba kudziwa ngati mabakiteriya ali ndi gram kapena zoipa. Elizabethkingia anophelis ndi galamukani. Vuto ndilokuti ambiri mwa ma antibiotic omwe amagwiritsidwa ntchito pa mabakiteriya ambiri a gramu sagwira ntchito Elizabethkingia anophelis.
Zilombo Zina Zofanana
Palinso mitundu ina mu mtundu wa Elizabethkingia. Izi zikuphatikizapo Elizabethkingia meningoseptica (omwe amawoneka mofala m'magulu a anthu ), Elizabethkingia miricola, ndi Elizabethkingia endophytica.
Izi zonse ndizitsulo za aerobic, nonmotile, ndi Gram-hasi. Maina a mabakiteriya sanalembedwe mwala. Nthawi zambiri amasintha. Zina mwa mitunduzi zimakhala mbali ya Flavobacterium .
Mitundu imeneyi ndi yofanana; 98.6 peresenti ya ma genetic yofanana ndi Elizabethkingia meningoseptica ndi 98.2 peresenti yofanana ndi Elizabethkingia miricola.
Chithandizo
Elizabethkingia matenda ndi mabakiteriya ndipo amachiritsidwa ndi mankhwala opha tizilombo. Vuto ndi mabakiteriya nthawi zambiri samayankha ma antibayotiki.
Maantibayotiki omwe amatsutsana nawo angakhale odabwitsa - ndipo otsiriza omwe madokotala angawafikire. Kuzindikiritsa koyambirira kwa mabakiteriya (monga gram-negative) kungawathandize akatswiri azachipatala kuti azichita moyenera ndi mankhwala omwe sangagwire ntchito.
Elizabethkingia matendawa nthawi zambiri amatsutsana ndi ma antibayotiki ambiri amene amachititsa mabakiteriya a gram-negative - aminoglycosides, ndi mankhwala a β-lactam, kuphatikizapo carbapenems. Mabakiteriyawa amadziwika kuti amapanga β-lactamases (ESBL) ndi metallo-β-lactamases. Izi zikutanthauza kuti mabakiteriyawa amatha kumenyana ndi ma antibayotiki amene amaganiziridwa nthawi zambiri, koma molakwika, kuti akhale "mfuti" zazikulu zotsutsana ndi mabakiteriya.
Komabe, E. meningoseptica, omwe ali ngati matenda onse a Elizabethbetia ndi gram-negative, amawoneka akuyankha mankhwala ena ogwiritsidwa ntchito pa mabakiteriya oyenera. Izi zikutanthauza kuti Elizabethkingia matendawa adziwika ndi mankhwala monga Vancomycin, omwe amatha kuchiza matenda a gram-positive.
Palibenso chidziwitso chochiza Elizabethkingia anophelis , koma izi zisanachitike, mabakiteriya anawonetsedwa, asanadziwike kuti ma antibayotiki akuwoneka, osagwirizana ndi ampicillin, chloramphenicol, kanamycin, streptomycin, ndi tetracycline.
Pankhaniyi, mabakiteriya amaoneka ngati a Bactrim (trimethoprim / sulfamethoxazole), fluoroquinolones (monga levofloxacin kapena ciprofloxacin, mwina), ndi Zosyn (piperacillin / tazoctam). Njira yothandizira kuyanjana nthawi zambiri imalimbikitsidwa - monga kuwonjezera kwa Vancomycin.
Milandu iyenera kuyankhulidwa kwa akuluakulu azaumoyo aumphawi - monga momwe ziyenera kuchitiridwa ndi mabakiteriya omwewo. Makamaka, mitundu ina ya Elizabethkingia kapena mabakiteriya okhudzana nawo ayenera kulankhulidwa monga momwe iwo amadziwidwira.