Harada M, Yoshida H, Oomagari K, Sakai T, Abe H, Tanikawa K
Second Department of Internal Medicine, Kurume University School of Medicine.
Kansenshogaku Zasshi. 1990 May;64(5):620-4. doi: 10.11150/kansenshogakuzasshi1970.64.620.
Edwardsiella tarda (E. tarda) is gram negative enterobacteriaceae which has been found generally in animal hosts and occasionally in human feces. We have reported a case of sepsis caused by E. tarda, complicated panophthalmitis and pyogenic spondylitis. A 39-year old patient suffered from fever, polyarthralgia and lumbago. We performed blood culture, from which E. tarda was isolated. Spinal CT scan showed destruction and osteogenesis of the fourth and fifth lumbar vertebral body and cranial CT scan showed destruction of the right lens. So we diagnosed sepsis with pyogenic spondylitis and panophthalmitis. We suspected that chronic ethanol administration reduced the resistance to infection of E. tarda which caused sepsis.
迟缓爱德华氏菌是革兰氏阴性肠杆菌科细菌,通常在动物宿主中发现,偶尔也在人类粪便中发现。我们报告了一例由迟缓爱德华氏菌引起的败血症病例,并发全眼球炎和化脓性脊柱炎。一名39岁患者出现发热、多关节痛和腰痛。我们进行了血培养,从中分离出迟缓爱德华氏菌。脊柱CT扫描显示第四和第五腰椎椎体破坏并伴有骨质生成,头颅CT扫描显示右眼晶状体破坏。因此我们诊断为败血症合并化脓性脊柱炎和全眼球炎。我们怀疑长期饮酒降低了对迟缓爱德华氏菌感染的抵抗力,从而导致败血症。