Ryoo Nam-Hee, Ha Jung-Sook, Jeon Dong-Seok, Kim Jae-Ryong, Kim Hyun-Chul
Department of Laboratory Medicine, School of Medicine, Keimyung University, Daegu, Korea.
J Korean Med Sci. 2005 Feb;20(1):143-5. doi: 10.3346/jkms.2005.20.1.143.
Though the pathogenic significance and the reservoir of Ewingella americana have not been clarified, this organism has caused several pathogenic infections, especially in immunocompromised patients. We report a pneumonia in a patient with chronic renal failure, who had chronic rejection of transplanted kidney. E. americana was identified to be the pathogen of pneumonia with clinical symptoms and signs and radiological examination. As soon as he was treated with ceftriaxone and isepamicin, clinical improvement was followed with no further growth of E. americana or other pathogenic isolates from sputum culture. This suggests to be the case of pneumonia caused by E. americana for the first time in the Korean literature.
尽管美洲艾氏菌的致病意义和储存宿主尚未明确，但该菌已引起多种致病性感染，尤其是在免疫功能低下的患者中。我们报告了一例慢性肾衰竭患者发生的肺炎，该患者存在移植肾慢性排斥反应。通过临床症状、体征及影像学检查，确定美洲艾氏菌为该肺炎的病原体。患者接受头孢曲松和异帕米星治疗后，临床症状改善，痰培养中未再分离出美洲艾氏菌或其他致病菌株。这在韩国文献中首次提示为美洲艾氏菌引起的肺炎病例。
