Lin Jen-Tsun, Wang Wei-Shu, Yen Chueh-Chuan, Liu Jin-Hwang, Chiou Tzeon-Jye, Yang Mu-Hua, Chao Ta-Chon, Chen Po-Min
Division of Medical Oncology, Department of Medicine, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan.
Scand J Infect Dis. 2003;35(11-12):882-3. doi: 10.1080/00365540310016637.
We describe a case of Chryseobacterium indologenes bacteremia in a leukemia patient with chronic graft-versus-host disease (GVHD) 6 months after allogeneic bone marrow transplantation. Blood cultures from a vein and via Hickman catheter grew C. indologenes. The patient was successfully treated with piperacillin/tazobactam and the infection did not recur. Our case indicates that C. indologenes infection can occur in patients with GVHD after allogeneic BMT and might be treated with a single agent, piperacillin/tazobactam without the removal of intravascular catheter.
我们描述了一例异基因骨髓移植6个月后发生慢性移植物抗宿主病(GVHD)的白血病患者感染产吲哚金黄杆菌菌血症的病例。从静脉和经希克曼导管采集的血培养物中培养出产吲哚金黄杆菌。患者接受哌拉西林/他唑巴坦治疗成功,感染未复发。我们的病例表明,产吲哚金黄杆菌感染可发生在异基因骨髓移植后患有移植物抗宿主病的患者中,且可能用单一药物哌拉西林/他唑巴坦治疗,而无需拔除血管内导管。