Helali Abdulnasser, McAlear Diane, Osoba Abimbola
Department of Pediatrics, King Khalid National Guard Hospital, PO Box 9515, Jeddah, 21423, Kingdom of Saudi Arabia.
Saudi Med J. 2005 Feb;26(2):311-3.
In the last decade Leuconostoc species have been reported with increasing frequency as human pathogens, causing bacteremia, meningitis and peritonitis. We report here a child with short-bowel syndrome who developed bacteremia following multiple surgeries for necrotizing enterocolitis. Leuconostoc species was isolated from the blood cultures. The child was successfully treated with ampicillin and gentamycin. He however remained total parenteral nutrition dependent due to his multiple abnormalities. We call the attention of microbiologists and pediatricians to this emerging pathogen, which is intrinsically resistant to vancomycin and can be misidentified in the microbiology laboratory as Viridans streptococci or Enterococci. Increased awareness by clinicians of this organism is called for, if it is to be recognized and appropriately treated.
在过去十年中，明串珠菌属作为人类病原体的报告频率越来越高，可引起菌血症、脑膜炎和腹膜炎。我们在此报告一名患有短肠综合征的儿童，其在因坏死性小肠结肠炎接受多次手术后发生了菌血症。从血培养中分离出了明串珠菌属。该儿童用氨苄西林和庆大霉素成功治愈。然而，由于他存在多种异常情况，仍依赖全胃肠外营养。我们提请微生物学家和儿科医生注意这种新出现的病原体，它对万古霉素具有内在耐药性，在微生物实验室中可能会被误鉴定为草绿色链球菌或肠球菌。如果要识别并适当治疗这种病原体，临床医生需要提高对它的认识。
