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儿童脑室腹腔分流管的施氏库克菌感染

Kytococcus schroeteri infection of a ventriculoperitoneal shunt in a child.

作者信息

Jourdain Sarah, Miendje Deyi Véronique Yvette, Musampa Karine, Wauters Georges, Denis Olivier, Lepage Philippe, Vergison Anne

机构信息

Infectious Diseases and Infection Control Unit, Université Libre de Bruxelles, Hôpital Universitaire des Enfants Reine Fabiola, Brussels, Belgium.

出版信息

Int J Infect Dis. 2009 Jul;13(4):e153-5. doi: 10.1016/j.ijid.2008.09.004. Epub 2008 Nov 14.

DOI:10.1016/j.ijid.2008.09.004
PMID:19010078
Abstract

Kytococcus schroeteri is a newly described micrococcal species and, to date, has been associated mostly with endocarditis. Six infections attributable to this opportunistic pathogen have been described since 2002, when the first case was identified. We describe here the first pediatric case of a K. schroeteri ventriculoperitoneal shunt infection. The child was successfully treated with a combination of rifampin and vancomycin and shunt replacement. Initially identified as a Micrococcus spp. by both automated identification and conventional biochemical testing, sequencing of the 16S ribosomal RNA gene enabled accurate identification of the organism.

摘要

施氏库克菌是一种新描述的微球菌属菌种,迄今为止,主要与心内膜炎相关。自2002年首例病例被确认以来,已报道了6例由这种机会致病菌引起的感染。我们在此描述首例施氏库克菌致脑室腹腔分流感染的儿科病例。该患儿通过利福平与万古霉素联合应用及更换分流管得以成功治疗。最初通过自动鉴定和传统生化检测均鉴定为微球菌属菌种,16S核糖体RNA基因测序实现了对该菌的准确鉴定。

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