Galeziok Michal, Roberts Ingram, Passalacqua Jo-Anne
Department of Medicine, St. Vincent's Medical Center, 2800 Main Street, Bridgeport CT 06606, USA.
J Med Case Rep. 2009 Oct 15;3:76. doi: 10.1186/1752-1947-3-76.
Bordetella bronchiseptica can be a cause of virulent pneumonia in humans with impaired immune systems. Few cases have been reported in the medical literature where Bordetella bronchiseptica has been the only pathogen isolated during a course of interstitial pneumonia.
A 42-year-old African-American man with human immunodeficiency virus presented with pulmonary symptoms that mimicked Pneumocystis jiroveci pneumonia. A sputum culture grew Bordetella brochiseptica, a common respiratory commensal of wild and domestic animals, rarely implicated in human infections.
Bordetella bronchiseptica should be added to the differential list of pathogens which can affect people with human immunodeficiency virus and pulmonary symptoms. Sputum culture, as well as history of animal exposure, in these patients is advised.
支气管败血博德特氏菌可能是免疫系统受损人群发生重症肺炎的病因。医学文献中报道的少数病例中，支气管败血博德特氏菌是间质性肺炎病程中唯一分离出的病原体。
一名42岁的感染人类免疫缺陷病毒的非裔美国男子出现类似耶氏肺孢子菌肺炎的肺部症状。痰培养结果显示为支气管败血博德特氏菌，这是一种常见于野生动物和家畜的呼吸道共生菌，很少与人类感染有关。
支气管败血博德特氏菌应列入可能影响感染人类免疫缺陷病毒且有肺部症状患者的病原体鉴别清单。建议对这些患者进行痰培养以及了解动物接触史。
