与急性胆囊炎相关的科氏克吕沃尔菌感染。
Kocuria kristinae infection associated with acute cholecystitis.
作者信息
Ma Edmond S K, Wong Chris L P, Lai Kristi T W, Chan Edmond C H, Yam W C, Chan Angus C W
机构信息
Division of Clinical Pathology, Department of Pathology, Hong Kong Sanatorium and Hospital, Hong Kong.
出版信息
BMC Infect Dis. 2005 Jul 19;5:60. doi: 10.1186/1471-2334-5-60.
BACKGROUND
Kocuria, previously classified into the genus of Micrococcus, is commonly found on human skin. Two species, K. rosea and K. kristinae, are etiologically associated with catheter-related bacteremia.
CASE PRESENTATION
We describe the first case of K. kristinae infection associated with acute cholecystitis. The microorganism was isolated from the bile of a 56-year old Chinese man who underwent laparoscopic cholecystectomy. He developed post-operative fever that resolved readily after levofloxacin treatment.
CONCLUSION
Our report of K. kristinae infection associated with acute cholecystitis expands the clinical spectrum of infections caused by this group of bacteria. With increasing number of recent reports describing the association between Kocuria spp. and infectious diseases, the significance of their isolation from clinical specimens cannot be underestimated. A complete picture of infections related to Kocuria spp. will have to await the documentation of more clinical cases.
背景
科氏葡萄球菌以前被归类于微球菌属，常见于人体皮肤。玫瑰科氏葡萄球菌和克里斯蒂娜科氏葡萄球菌这两个菌种在病因上与导管相关菌血症有关。
病例报告
我们描述了首例与急性胆囊炎相关的克里斯蒂娜科氏葡萄球菌感染病例。该微生物是从一名接受腹腔镜胆囊切除术的56岁中国男性的胆汁中分离出来的。他术后出现发热，左氧氟沙星治疗后发热很快消退。
结论
我们关于克里斯蒂娜科氏葡萄球菌感染与急性胆囊炎相关的报告扩展了这组细菌所致感染的临床谱。随着最近越来越多的报告描述科氏葡萄球菌属与传染病之间的关联，从临床标本中分离出它们的重要性不可低估。与科氏葡萄球菌属相关的感染全貌还有待更多临床病例的记录。
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