Hermida Amejeiras A, Romero Jung P, Cabarcos Ortiz De Barrón A, Treviño Castallo M
Servicio de Medicina Interna y Microbiología, Complejo Hospitalario de Santiago, Santiago de Compostela.
An Med Interna. 2004 Jul;21(7):334-6. doi: 10.4321/s0212-71992004000700006.
Arcanobacterium pyogenes is an anaerobic Gram-positive bacilli and it is a part of the normal flora in many domestic animals. A. pyogenes is a rare cause of pyogenic infections in humans and most of cases reported are questionable since there was failure to definitively identify the pathogen. A man with no past medical history presented with respiratory infection. The blood sample collected confirmed an Arcanobacterium pyogenes. It was necessary the addition of clarytromycin to the initial empirical treatment with cefotaxime, to the complete recovery. This case provide further evidence that A. pyogenes can be a pathogen in humans even in absence of predisposing illness.
化脓隐秘杆菌是一种厌氧革兰氏阳性杆菌，是许多家畜正常菌群的一部分。化脓隐秘杆菌是人类化脓性感染的罕见病因，大多数报道的病例存在疑问，因为未能明确鉴定出病原体。一名无既往病史的男子出现呼吸道感染。采集的血样证实感染了化脓隐秘杆菌。在最初使用头孢噻肟进行经验性治疗时加用克拉霉素，才实现了完全康复。该病例进一步证明，即使没有易感疾病，化脓隐秘杆菌也可能是人类的病原体。
