Department of Rheumatology, Hospital Universitario San Cecilio, Avda. Dr. Olóriz 16, 18012 Granada, Spain.
J Clin Microbiol. 2011 Dec;49(12):4391-3. doi: 10.1128/JCM.05058-11. Epub 2011 Oct 12.
Cellulosimicrobium cellulans has been reported as a rare cause of human pathogenesis. Infections mainly occur in immunocompromised patients and very often are associated with a foreign body. We report the first case of septic arthritis caused by C. cellulans in an immunocompetent patient. Our patient suffered a penetrating palm tree thorn injury to his left knee 8 weeks before admission. Although no foreign objects were found, they were suspected because previous reports suggest a frequent association with this microorganism, and open debridament was performed. Removal of foreign bodies related to this organism must be considered a high-priority treatment in these patients to achieve a complete recovery.
纤维微菌纤维素亚种已被报道为人类发病的罕见原因。感染主要发生在免疫功能低下的患者中，并且经常与异物有关。我们报告了首例免疫功能正常患者由纤维微菌纤维素亚种引起的败血症性关节炎。我们的患者在入院前 8 周时遭受了左膝穿透性棕榈树刺伤。尽管没有发现异物，但由于之前的报告表明这种微生物经常与之相关，因此怀疑存在异物，并进行了开放性清创术。从这些患者中取出与该病原体相关的异物必须被视为实现完全康复的高度优先治疗。
