Tsui Tung-Lin, Tsao Shih-Ming, Liu Ken-Sen, Chen Tzy-Yen, Wang Ya-Lin, Teng Ying-Hock, Lee Yuan-Ti
Intensive Care Unit, Puli Christian Hospital, Nantou, Taiwan.
Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; Faculty of Medicine, School of Medicine, Chung Shan Medical University, Taichung, Taiwan; Division of Infectious Diseases, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
J Microbiol Immunol Infect. 2011 Feb;44(1):67-71. doi: 10.1016/j.jmii.2011.01.013. Epub 2011 Jan 12.
Comamonas testosteroni is a widely distributed aerobic gram-negative bacillus. Infection by C testosteroni is infrequent, and no such cases have been reported in Taiwan. Here, we would like to present a 54-year-old alcoholic patient from Taiwan, and his left leg was injured during a fishing trip, resulting in left leg cellulitis and C testosteroni bacteremia. The patient's fever subsided after initial treatment with extended-spectrum cephalosporin, whereas his erythematous swelling did not resolve until switched to ciprofloxacin. The second patient is a 73-year-old Taiwanese male with chronic hepatitis B infection, liver cirrhosis, and hepatocellular carcinoma. Comamonas testosteroni bacteremia was found after transarterial embolization. Further studies are necessary to determine the best antibiotic(s) for patients infected with C testosteroni.
睾丸酮丛毛单胞菌是一种广泛分布的需氧革兰氏阴性杆菌。睾丸酮丛毛单胞菌感染并不常见，台湾地区尚未有此类病例报告。在此，我们想介绍一位来自台湾的54岁酗酒患者，他在一次钓鱼旅行中左腿受伤，导致左腿蜂窝织炎和睾丸酮丛毛单胞菌血症。患者最初接受广谱头孢菌素治疗后发热消退，而改用环丙沙星后，其红斑肿胀才得以消退。第二位患者是一名73岁的台湾男性，患有慢性乙型肝炎感染、肝硬化和肝细胞癌。经动脉栓塞后发现睾丸酮丛毛单胞菌血症。有必要进一步研究以确定针对睾丸酮丛毛单胞菌感染患者的最佳抗生素。
