Miranda C, Carazo C, Bañón R, Mendoza J, Montes A, de la Rosa M
Servicio de Microbiología y Parasitología, Hospital Regional Virgen de Las Nieves, Granada, Spain.
Diagn Microbiol Infect Dis. 1990 Jul-Aug;13(4):329-31. doi: 10.1016/0732-8893(90)90025-q.
We describe three cases of extragenital infection by Mycoplasma hominis in three patients transplanted with kidneys from cadaver donors. In two patients, the microorganism was isolated in the exudate from the surgical wound after 72 hrs. of culture on blood-agar (Columbia + 5% horse blood) in CO2 and under anaerobic conditions. In the remaining case, M. hominis was isolated in urine from a suprapubic catheter. All three patients responded satisfactorily to treatment with doxycycline. Mycoplasma hominis should be considered as the possible source of infection in patients at risk because of immunosuppressive therapy and manipulation of the urinary tract. Detection and identification of the organism are difficult without the appropriate techniques.
我们描述了3例接受尸体供体肾脏移植的患者发生人型支原体生殖器外感染的病例。在2例患者中,在二氧化碳培养箱及厌氧条件下,于血琼脂(哥伦比亚琼脂+5%马血)上培养72小时后,从手术伤口渗出物中分离出该微生物。在其余1例病例中,从耻骨上导尿管尿液中分离出人型支原体。所有3例患者接受强力霉素治疗后反应良好。由于免疫抑制治疗和泌尿道操作,人型支原体应被视为有感染风险患者可能的感染源。若没有适当的技术,该微生物的检测和鉴定会很困难。