免疫功能低下患者的短螺旋体（毛螺菌属）菌血症

Brachyspira (Serpulina) pilosicoli spirochetemia in an immunocompromised patient.

作者信息

Kanavaki S, Mantadakis E, Thomakos N, Pefanis A, Matsiota-Bernard P, Karabela S, Samonis G

机构信息

Sotiria Hospital for Chest Diseases, Athens, Greece.

出版信息

Infection. 2002 Jun;30(3):175-7. doi: 10.1007/s15010-002-2175-1.

DOI:10.1007/s15010-002-2175-1

PMID:12120947

Abstract

The case of an elderly immunocompromised man with non-Hodgkin's lymphoma who presented with fever, abdominal pain and bloody diarrhea is described. Brachyspira pilosicoli was isolated from culture. The patient was treated with penicillin G i.v. and became afebrile. B. pilosicoli is a recently recognized enteric pathogen of humans and animals. Intestinal spirochetosis should be included in the differential diagnosis of any immunocompromised or critically ill patient with dysentery.

摘要

本文描述了一例患有非霍奇金淋巴瘤的老年免疫功能低下男性患者，其出现发热、腹痛和血性腹泻症状。从培养物中分离出了柔毛短螺旋体。患者接受静脉注射青霉素G治疗后退热。柔毛短螺旋体是一种最近才被认识的人和动物肠道病原体。对于任何患有痢疾的免疫功能低下或重症患者，肠道螺旋体病都应列入鉴别诊断范围。