Fiye da 40 sun kamu da cutar, akalla 15 sun mutu, kamuwa da kwayoyin cutar da ba mu sani ba game da - Elizabethcatia anophelis.
Duk wadanda suka kamu da cutar sune tsofaffi ne a Wisconsin, yawancin tsofaffi. Mafi yawa sun kai shekaru 65 da haihuwa kuma an bayar da rahoton cewa suna da wasu matsalolin kiwon lafiya. Wasu suna cikin gidajen ginin, wasu a asibitin. Ba a bayyana yadda yawancin rashin lafiya da rigakafi da kuma yadda yawancin kamuwa da kwayar cuta ke ba da gudummawa ga mutuwar.
Ba zai zama matsala ba ga wadanda ke da lafiya da waje na wuraren kulawa. Magungunan annobar cutar da kuma ma'aikata na ma'aikata - daga jihar da CDC - suna ƙoƙarin gano yadda wannan yake faruwa.
Elizabethkingia anophelis Effects
Wannan rashin lafiya na kwayar cuta zai iya haifar da zazzabi, rashin ƙarfi, numfashi, da kuma kamuwa da fata - cellulitis - wanda zai iya zama mai raɗaɗi kuma wani lokacin lokutan tsabtace fata. An samo shi a cikin jini na marasa lafiya kuma ya kirkiro hoton hoto na sepsis.
Wasu lokuta saboda rashin lafiyar marasa lafiyar marasa lafiyar, rashin tabbas idan mai kamuwa da cutar Elizabethkingia ne mai cin hanci - kwayoyin da aka samu ba tare da haddasa rashin lafiya ba; a cikin wanda yake da lafiya a asibitin, yana da wuya a gaya idan wannan abu ne mai laushi ko haddasa matsalolin. Idan ba dangi ba ne, ta yaya bug ke taimakawa wajen haifar da rashin lafiya? Ya bayyana wannan kwayoyin, ko da yake sau da yawa an gani a matsayin mai cin hanci a wasu wurare, yana haifar da kansa lalacewa a cikin wannan fashewa tsakiya a Wisconsin.
Kwayoyin suna sa mutane marasa lafiya - ko rashin lafiya (shi ke kai hari ga wadanda ke da lafiya).
Sanin asali
Ana buƙatar gwaje gwaje-gwaje akan kwayoyin gwajin kwayoyin halitta don tantance idan kamuwa da cuta ya haifar da anophelis Elizabethkingia.
Idan kwayoyin ke samuwa a cikin jini ko sauran jikin jiki, za'a iya amfani da samfurin jiki mai amfani don yayi girma da kwayoyin a cikin dakin gwaje-gwaje.
Kwayoyin suna girma akan nau'o'in gwaje-gwajen kwayoyin halittu daban-daban tare da abubuwa daban-daban, don ganin inda kwayoyin ke tsiro kuma inda ba zai iya girma ba, tare da wasu gwaje-gwaje, ta haka ne gano kwayoyin da ke samuwa.
Matsalar ita ce cewa kwayar cutar ba zata iya ganewa ba. Tabbatarwa ba koyaushe bane. Zai fi sauƙi a fara gane ko kwayoyin cutar ba su da kyau ko kuma tabbatacce. Elizabethingia anophelis yana da nauyin kima. Matsalar ita ce, yawancin maganin rigakafi da ke aiki a kan mafi yawan kwayoyin cutar kwayar cutar ba su aiki akan Elizabethkingia anophelis.
Sauran Bugs na Musamman
Akwai wasu nau'o'i a cikin jinsin Elizabethkingia. Wadannan sun hada da Elizabethkingia meningoseptica ( ganin yawancin cututtukan mutum ), Elizabethkingia miricola, da Elizabethkingia endophytica.
Wadannan duka airobic, nonmotile, sandar Gram-negative. Ba'a rubuta sunayen kwayoyin ba a dutse. Sau da yawa sukan canza. Wasu daga cikin wadannan jinsunan suna amfani da su a cikin siffar Flavobacterium .
Wadannan jinsunan suna da kama da irin wannan; Kashi 98.6 bisa dari na jigilar kwayoyin halitta kamar Elizabethkingia meningoseptica da kuma kashi 98.2 cikin dari na kama da Elizabethkingia miricola.
Jiyya
Abun kula da Elizabethkingia suna da kwayar cuta kuma suna bi da maganin maganin rigakafi. Matsala shine kwayoyin sau da yawa bazai amsa maganin maganin rigakafi ba.
Kwayoyin maganin rigakafin da ke aiki da shi na iya zama abin ban mamaki - kuma likitoci na ƙarshe zasu isa. Sakamakon farko na kwayoyin (kamar yadda yake da ƙwaya) zai jagorantar kwararrun likitoci don suyi amfani da kwayoyi wanda bazai aiki ba.
Samun cututtukan Elizabethkingia yawanci sun saba wa maganin maganin rigakafi da yawa wadanda ke shawo kan kwayoyin cutar giragu - aminoglycosides, da kwayoyin β-lactam, ciki har da carbapenems. Wadannan kwayoyin sun san sanadiyar β-lactamases mai tsawo (ESBL) da kuma metallo-β-lactamases. Wato, waɗannan kwayoyin zasu iya yakin maganin maganin rigakafin da ake zaton sau da yawa, amma sau da yawa, shine mafi girman "bindigogi" akan kwayoyin cuta.
Duk da haka, E. meningoseptica, wanda kamar dukkanin cututtukan Elizabethkingia shine ƙananan ƙwayar cuta, yana kama da amsa wasu kwayoyi da ake amfani dasu ga kwayoyin gram-positive. Wato, ana sani da cututtukan Elizabethkingia da za su amsa maganin kwayoyi kamar Vancomycin, wanda yawanci zai iya magance cututtuka na gram-positive.
Akwai kwarewar kwarewa da zalunta Elizabethopholisal Elizabeth , amma kafin wannan fashewa, an nuna kwayoyin, ba tare da an gano kwayoyin cutar ba, don magance ampicillin, chloramphenicol, kanamycin, streptomycin, da tetracycline.
A wannan yanayin, kwayoyin sun bayyana sunadarai ga Bactrim (trimethoprim / sulfamethoxazole), fluoroquinolones (kamar levofloxacin ko ciprofloxacin, watakila), da Zosyn (piperacillin / tazobactam). Haɗakar daɗaɗa yawanci ana bada shawarar - kamar yadda Vancomycin ya dace.
Dole ne a bayar da rahoto ga Jami'an Kiwon Lafiyar Jama'a - kamar yadda lamarin ya faru da kwayoyin irin wannan. Musamman, wasu jinsin Elizabethkingia ko kwayoyin da suka shafi ya kamata a bayar da rahoto kamar yadda zasu iya kuskure.