Morinaga Yoshitomo, Yanagihara Katsunori, Yamada Koichi, Nakamura Shigeki, Izumikawa Koichi, Seki Masafumi, Kakeya Hiroshi, Yamamoto Yoshihiro, Inoue Yuichi, Kamihira Shimeru, Kohno Shigeru
Department of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences.
Kansenshogaku Zasshi. 2010 Jan;84(1):65-8. doi: 10.11150/kansenshogakuzasshi.84.65.
Corynebacterium pseudodiphtheriticum, one cause of respiratory tract infection, is rarely considered as a pathogen because it is among normal bacterial flora colonizing the oral cavity. We report two cases of C. pseudodiphtheriticum causing respiratory tract infection--an exacerbation of chronic obstructive pulmonary disease and pneumonia--, both in the presence of underlying respiratory disease. Both required antibiotics after first-line chemotherapy failed. Isolates were susceptible to beta-lactams. Gram-staining of respiratory tract specimens is important in diagnosing this infection and determining appropriate antimicrobial use.
假白喉棒状杆菌是呼吸道感染的病因之一,由于它是口腔正常菌群的一部分,很少被视为病原体。我们报告了两例假白喉棒状杆菌引起呼吸道感染的病例——一例慢性阻塞性肺疾病急性加重和一例肺炎——均存在潜在的呼吸道疾病。在一线化疗失败后,两例均需要使用抗生素。分离株对β-内酰胺类药物敏感。呼吸道标本的革兰氏染色对于诊断这种感染和确定适当的抗菌药物使用很重要。