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免疫功能正常患者的海氏肠杆菌肝脓肿。

Liver abscess caused by Brevundimonas vesicularis in an immunocompetent patient.

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.

Department of Laboratory Medicine, Korea University College of Medicine, Seoul, Republic of Korea.

出版信息

J Med Microbiol. 2012 Oct;61(Pt 10):1476-1479. doi: 10.1099/jmm.0.045120-0. Epub 2012 Jul 5.

DOI:10.1099/jmm.0.045120-0
PMID:22767540
Abstract

Invasive infections caused by Brevundimonas vesicularis are very rare in humans. We experienced an unusual case of liver abscess due to B. vesicularis in an immunocompetent young male. The patient was successfully treated by liver abscess drainage and with antimicrobial therapy of ceftriaxone followed by ampicillin/sulbactam. The organism found in the aspiration culture of the abscess material was initially reported, by using a VITEK 2 system, as Sphingomonas paucimobilis. However, later, B. vesicularis was confirmed as the true pathogen through 16S rRNA gene sequencing. To our knowledge, this is the first case of liver abscess caused by B. vesicularis.

摘要

韦荣球菌引起的侵袭性感染在人类中非常罕见。我们遇到了一例免疫功能正常的年轻男性韦荣球菌肝脓肿的不寻常病例。患者通过肝脓肿引流和头孢曲松联合氨苄西林/舒巴坦的抗菌治疗成功治愈。脓肿抽吸物的培养物中发现的病原体最初通过 VITEK 2 系统报告为少动鞘氨醇单胞菌。然而,后来通过 16S rRNA 基因测序证实韦荣球菌为真正的病原体。据我们所知,这是首例由韦荣球菌引起的肝脓肿。

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