We report a case of a bronchitis caused by Bordetella holmesii in a 2-year-old girl with asthma. The patient had a moderate fever and productive cough, and her condition was initially diagnosed as mycoplasmal bronchitis on the basis of her clinical symptoms and rapid serodiagnosis of mycoplasmal infection. She was treated with a bronchodilator and clarithromycin, which resulted in complete recovery. However, after the initial diagnosis, nucleic acid amplification tests of her sputum showed the absence of both Mycoplasma pneumoniae and Bordetella pertussis infections. Sputum culture showed the presence of a slow-growing, gram-negative bacillus in pure culture on Bordetella agar plates; the bacillus was later identified as B. holmesii. B. holmesii infection is rare in immunocompetent children; however, the organism is a true pathogen that can cause bronchitis in young children with asthma.

译文

:我们报告了一名2岁哮喘小女孩由霍乱博德特氏菌引起的支气管炎病例。该患者患有中度发烧和咳嗽,根据她的临床症状和支原体感染的快速血清诊断,最初被诊断为支原体支气管炎。她接受了支气管扩张药和克拉霉素治疗,从而完全康复。然而,在初步诊断后,其痰液的核酸扩增测试显示肺炎支原体和百日咳博德特氏菌均无感染。痰培养显示在博德特氏菌琼脂平板上的纯培养物中存在缓慢生长的革兰氏阴性杆菌。该杆菌后来被鉴定为霍乱芽孢杆菌。霍曼氏杆菌感染在具有免疫能力的儿童中很少见;但是,这种生物体是一种真正的病原体,可以引起哮喘小儿支气管炎。

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