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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mes</journal-id><journal-title-group><journal-title xml:lang="ru">Экстремальная биомедицина</journal-title><trans-title-group xml:lang="en"><trans-title>Extreme Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3033-8964</issn><issn pub-type="epub">3033-8972</issn><publisher><publisher-name>Centre for Strategic Planning of the Federal Medical and Biological Agency</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47183/mes.2022.030</article-id><article-id custom-type="elpub" pub-id-type="custom">mes-182</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Случай выделения Streptococcus massiliensis из крови у пациента с менингоэнцефалитом</article-title><trans-title-group xml:lang="en"><trans-title>Case of Streptococcus massiliensis isolation from blood of patient with meningoencephalitis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лянг</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyang</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ольга Викторовна Лянг</p><p>ул. Островитянова, д. 1, стр. 10, 117997, г. Москва </p></bio><bio xml:lang="en"><p>Olga V. Lyang</p><p>Ostrovitianov, 1, str. 10, 117997, Moscow</p></bio><email xlink:type="simple">lyang@fccps.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пахилова-Попова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pakhilova-Popova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кабаева</surname><given-names>A. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kabaeva</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бойко</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Boyko</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шамалов</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shamalov</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральный центр мозга и нейротехнологий Федерального медико-биологического агентства;&#13;
Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Center of Brain Research and Neurotechnologies of the Federal Medical Biological Agency;&#13;
Peoples' Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральный центр мозга и нейротехнологий Федерального медико-биологического агентства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Center of Brain Research and Neurotechnologies of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>27</day><month>10</month><year>2024</year></pub-date><volume>24</volume><issue>3</issue><fpage>70</fpage><lpage>73</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лянг О.В., Пахилова-Попова А.В., Кабаева A.Р., Бойко О.В., Шамалов Н.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Лянг О.В., Пахилова-Попова А.В., Кабаева A.Р., Бойко О.В., Шамалов Н.А.</copyright-holder><copyright-holder xml:lang="en">Lyang O.V., Pakhilova-Popova A.V., Kabaeva A.R., Boyko O.V., Shamalov N.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.extrememedicine.ru/jour/article/view/182">https://www.extrememedicine.ru/jour/article/view/182</self-uri><abstract><sec><title>/</title><p>/</p></sec><sec><title>На сегодняшний день Str</title><p>На сегодняшний день Str. мassiliensis, представитель нормобиоты полости рта человека, был обнаружен в крови пациентов всего дважды (что подтверждают публикации 2004 и 2015 гг.). В неврологическое отделение для проведения дообследования и лечения в плановом порядке поступил пациент с демиелинизирующим заболеванием нервной системы. По результатам лабораторных и инструментальных исследований был выставлен диагноз «менингоэнцефалит», позднее осложненный двусторонней полисегментарной пневмонией, синдромом системной воспалительной реакции и полиорганной недостаточностью. После резкого ухудшения состояния пациента в виде угнетения сознания, нарастания стволовой симптоматики было проведено исследование ликвора на маркеры вирусных и бактериальных инфекций методом ПЦР и выполнен микробиологический посев крови. В крови обнаружен рост и затем методом времяпролетной масс-спектрометрии идентифицирован Streptococcus massiliensis, чувствительный к бензилпенициллину, ванкомицину, левофлоксацину, линезолиду, сульфаметоксазолу / триметоприму, эритромицину. Таким образом, ввиду практически полного отсутствия данных о биологической роли Str. мassiliensis, а также в связи с повышением частоты выделения бактерий рода Streprococcus из стерильных жидкостей человека представляется необходимым заострить внимание на данном случае выделения Str. massiliensis из крови.</p></sec></abstract><trans-abstract xml:lang="en"><p>To date, Streptococcus мassiliensis, the representative of human oral normobiota, was detected in the patients' blood only twice (which was confirmed by the reports published in 2004 and 2015). The patient with the demyelinating disease of the nervous system was routinely admitted to the neurological department for further examination and treatment. The diagnosis of meningoencephalitis was established based on the laboratory and instrumental tests. Meningoencephalitis was later complicated by bilateral multilobar pneumonia, systemic inflammatory response syndrome, and multisystem organ failure. After sharp deterioration of patient's health in the form of the decreased level of consciousness and brainstem symptoms, cerebrospinal fluid was tested by PCR for markers of viral and bacterial infections, and blood was cultured. Bacterial growth was detected in blood culture, and then Streptococcus massiliensis, susceptible to benzylpenicillin, vancomycin, levofloxacin, linezolid, sulfamethoxazole/trimethoprim, and erythromycin, was identified by time-of-flight mass spectrometry. Thus, it seems necessary to focus attention on this case of the Str. massiliensis isolation from blood due to the near total lack of data on the Str. мassiliensis biological role and the more frequent isolation of bacteria of the genus Streptococcus from sterile human body fluids.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>менингоэнцефалит</kwd><kwd>Streptococcus massiliensis</kwd><kwd>MALDI-TOF масс-спектрометрия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>meningoencephalitis</kwd><kwd>Streptococcus massiliensis</kwd><kwd>MALDI-TOF mass spectrometry</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Чеботарь И. В., Поликарпова С. В., Бочарова Ю. А., Маянский Н. А. 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