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本文报告10例痰涂片抗酸杆菌阳性、培养有结核杆菌生长的肺结核住院患者,由于用异菸肼、链霉素、乙胺丁醇或利福平治疗2周后仍高热或体温升高(38.3～40.0℃,平均39.2℃),经血细菌培养2次或以上阳性而确诊为败血症。每例亦同时作尿、痰和脑脊液培养。6例血培养有固紫染色阳性细菌生长(肺炎链球菌3例,A组β-溶血性链球菌1例,凝同酶阳性的金黄色葡萄球菌2例),4例有固紫染色阴性的细菌生长(大肠杆菌2例,沙雷氏菌1例,克雷白氏菌1例)。其中6例在痰和血液中均培养出相
This article reports 10 cases of sputum smear positive acid bacillus, tuberculosis patients with tuberculosis growth in hospitalized patients, due to isoniazid, streptomycin, ethambutol or rifampicin after 2 weeks of treatment is still high fever or body temperature (38.3 ~ 40.0 ℃, average 39.2 ℃), menstrual blood culture 2 times or more positive diagnosis of sepsis. Each case also for urine, sputum and cerebrospinal fluid culture. 6 cases of blood culture with solid purple stain positive bacteria growth (Streptococcus pneumoniae in 3 cases, A group of β-hemolytic streptococcus in 1 case, coagulase-positive Staphylococcus aureus in 2 cases), 4 cases of solid purple staining negative Bacterial growth (Escherichia coli 2, Serratia bacteria 1, Klebsiella pneumoniae 1). Six of them developed phases in sputum and blood