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.
作者
林丽
叶佩佩
李双月
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)
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)。
关键词
造血干细胞移植
嗜麦芽窄食单胞菌
脊柱感染
Allogeneic hematopoietic stem cell transplantation
Stenotrophomonas maltophilia
Spinal infection
