Crandall C, Abbott S L, Zhao Y Q, Probert W, Janda J M
Microbial Diseases Laboratory, California Dept. of Health Services, 850 Marina Bay Parkway, Room E164, Richmond, CA 94804, USA.
Infection. 2006 Aug;34(4):227-9. doi: 10.1007/s15010-006-5088-6.
An 11-year-old girl presented to a central California children's hospital with a 3-day history of erythematous lesions on her forehead, neck, and trunk, abdominal pain, persistent emesis, and decreased urinary output. One day prior to admission she had a mild bout of diarrhea with a small amount of blood in her stool. Upon admission her condition rapidly worsened with acute renal failure, anemia, and thrombocytopenia. One of the possible causes of this condition included hemolytic uremic syndrome. Stool cultures of this patient tested at the children's hospital and at a state reference laboratory were repeatedly negative for Escherichia coli O157:H7. However, the state reference laboratory detected a toxigenic strain of Hafnia alvei active on Vero cells from two consecutive stool cultures during the acute phase of her illness.
一名11岁女孩因前额、颈部和躯干出现红斑性病变、腹痛、持续呕吐及尿量减少3天，前往加利福尼亚州中部的一家儿童医院就诊。入院前一天，她有一次轻度腹泻，粪便中有少量血液。入院后，她的病情迅速恶化，出现急性肾衰竭、贫血和血小板减少。这种情况的可能原因之一包括溶血尿毒综合征。该患儿在儿童医院和一家州参考实验室进行的粪便培养，多次检测出大肠杆菌O157:H7呈阴性。然而，州参考实验室在她疾病急性期的连续两次粪便培养中，检测到一株对Vero细胞有活性的产毒蜂房哈夫尼亚菌。
