戈氏分枝杆菌引起的起搏器手术部位感染

Pacemaker surgical site infection caused by Mycobacterium goodii.

作者信息

Marchandin Hélène, Battistella Pascal, Calvet Brigitte, Darbas Hélène, Frapier Jean-Marc, Jean-Pierre Hélène, Parer Sylvie, Jumas-Bilak Estelle, Van de Perre Philippe, Godreuil Sylvain

机构信息

Université Montpellier 1, EA3755, Faculté de Pharmacie, Laboratoire de Bactériologie-Virologie, F-34060 Montpellier, France.

Centre Hospitalier et Universitaire de Montpellier, Laboratoire de Bactériologie, F-34295 Montpellier, France.

出版信息

J Med Microbiol. 2009 Apr;58(Pt 4):517-520. doi: 10.1099/jmm.0.006759-0.

DOI:10.1099/jmm.0.006759-0

PMID:19273649

Abstract

We describe what we believe to be the first documented case of Mycobacterium goodii infection in Europe. It is also the second documented report of a pacemaker pocket surgical site infection caused by M. goodii. Although rarely involved in such infections, rapidly growing mycobacteria should be recognized during conventional bacteriological investigations and further identified by molecular tools to provide adequate therapy. In the present case, antimicrobial therapy with doxycycline without removal of the pacemaker was successful.

摘要

我们描述了我们认为是欧洲首例有记录的戈氏分枝杆菌感染病例。这也是第二例有记录的由戈氏分枝杆菌引起的起搏器囊袋手术部位感染报告。尽管快速生长分枝杆菌很少引发此类感染，但在常规细菌学调查中应予以识别，并通过分子工具进一步鉴定，以提供适当的治疗。在本病例中，使用强力霉素进行抗菌治疗且未移除起搏器取得了成功。