Department of Microbiology, LabPlus, Auckland City Hospital, New Zealand.
Anaerobe. 2012 Jun;18(3):270-2. doi: 10.1016/j.anaerobe.2012.01.006. Epub 2012 Jan 31.
Extra-intestinal infections caused by Clostridium difficile are uncommon. We report a case of a mycotic abdominal aortic aneurysm in an 86-year old male. Tissue and pus swabs from the aneurysmal sac grew a pure growth of C. difficile. The identity of the isolate was determined by phenotypic methods and confirmed by DNA sequencing. He was treated successfully with an aorta-bifemoral bypass and a 4-week course of intravenous and oral antibiotics.
难辨梭状芽孢杆菌引起的肠外感染并不常见。我们报告了一例 86 岁男性的真菌性腹主动脉瘤病例。从动脉瘤囊中取出的组织和脓液拭子培养出单纯的难辨梭状芽孢杆菌生长。通过表型方法确定分离株的身份,并通过 DNA 测序确认。他成功地接受了主动脉-双侧股动脉旁路手术和 4 周的静脉和口服抗生素治疗。