Lin Wei-Ru, Chen Yao-Shen, Liu Yung-Ching
Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
J Formos Med Assoc. 2007 Jul;106(7):573-6. doi: 10.1016/S0929-6646(07)60008-4.
Bergeyella zoohelcum is a rod-shaped, aerobic, Gram-negative, non-motile and non-saccharolytic bacterium. It is frequently isolated from the upper respiratory tract of dogs, cats and other mammals. Clinically, B. zoohelcum has been known to cause cellulitis, leg abscess, tenosynovitis, septicemia, pneumonia and meningitis, and is associated with animal bites. In addition, food-borne transmission was considered in a recent case report. We report a 73-year-old man with liver cirrhosis who had no history of dog bite but had dog exposure, who developed cellulitis of the left lower leg and B. zoohelcum was isolated from blood culture. This patient, without evidence of polymicrobial infection, was treated with cefazolin and gentamicin with a good outcome. B. zoohelcum is a zoonotic pathogen that may cause bacteremia in patients with underlying disease such as liver cirrhosis; it can be treated with a beta-lactam or quinolone.
动物溃疡伯格菌是一种杆状、需氧、革兰氏阴性、无动力且不分解糖类的细菌。它经常从狗、猫和其他哺乳动物的上呼吸道中分离出来。临床上，动物溃疡伯格菌已知可引起蜂窝织炎、腿部脓肿、腱鞘炎、败血症、肺炎和脑膜炎，并且与动物咬伤有关。此外，在最近一份病例报告中考虑了食源性传播。我们报告一名73岁的肝硬化男性，他没有被狗咬伤的病史，但有与狗接触史，他出现了左小腿蜂窝织炎，血培养分离出动物溃疡伯格菌。该患者无多微生物感染证据，接受头孢唑林和庆大霉素治疗，效果良好。动物溃疡伯格菌是一种人畜共患病原体，可能在肝硬化等基础疾病患者中引起菌血症；可用β-内酰胺类或喹诺酮类药物治疗。
