de Vries J J C, Arents N L A, Manson W L
Department of Medical Microbiology, University Medical Center Groningen, Groningen, The Netherlands.
Eur J Clin Microbiol Infect Dis. 2008 Nov;27(11):1119-23. doi: 10.1007/s10096-008-0550-2. Epub 2008 May 17.
Campylobacter species are frequently isolated from fecal specimens of patients with diarrheal illness. Several Campylobacter species are commonly isolated from the oral cavity. In contrast, Campylobacter species are rarely isolated from extra-oro-intestinal abscesses. Reported here are four cases of extra-oro-intestinal abscesses due to polymicrobial flora, including Campylobacter species. The first case is a 35-year-old woman who was diagnosed with a brain abscess caused by C. gracilis, Streptococcus constellatus, and anaerobic Gram-positive cocci. The second case is a 65-year-old man with a history of maxillary sinus carcinoma who developed a brain abscess due to polymicrobial flora, including C. concisus. The third case is a 24-year-old male who was diagnosed with a vertebral abscess caused by C. rectus, Eubacterium brachy, and Actinomyces species. The fourth case is a 74-year-old woman who presented with an intraorbital abscess due to C. showae and Micromonas (previously Peptostreptococcus) micros. The first two patients died from a cause directly related to their abscesses. All Campylobacter species involved in the four cases were isolated anaerobically. The isolation of oral Campylobacter species, e.g., C. rectus and C. showae, from abscesses suggests an oral source. A survey of the English literature was undertaken to identify reports of Campylobacter species isolated from extra-oro-intestinal abscesses.
弯曲杆菌属经常从腹泻病患者的粪便标本中分离出来。几种弯曲杆菌属也常从口腔中分离出来。相比之下，弯曲杆菌属很少从口腔外肠道外脓肿中分离出来。本文报告了4例由包括弯曲杆菌属在内的多种微生物菌群引起的口腔外肠道外脓肿病例。第一例是一名35岁女性，被诊断为由纤细弯曲杆菌、星座链球菌和厌氧革兰氏阳性球菌引起的脑脓肿。第二例是一名65岁男性，有上颌窦癌病史，因包括简明弯曲杆菌在内的多种微生物菌群而发生脑脓肿。第三例是一名24岁男性，被诊断为由直肠弯曲杆菌、短真杆菌和放线菌属引起的脊椎脓肿。第四例是一名74岁女性，因邵氏弯曲杆菌和微小微单胞菌（以前称为消化链球菌属微小菌）出现眶内脓肿。前两名患者死于与脓肿直接相关的原因。这4例中涉及的所有弯曲杆菌属均通过厌氧方式分离出来。从脓肿中分离出口腔弯曲杆菌属，如直肠弯曲杆菌和邵氏弯曲杆菌，提示其来源为口腔。我们对英文文献进行了调查，以确定从口腔外肠道外脓肿中分离出弯曲杆菌属的报告。
