Salameh Ahmad, Klotz Stephen A, Zangeneh Tirdad T
Department of Medicine, The University of Arizona Medical Center, University of Arizona, Tucson, AZ 85724, USA.
Case Rep Infect Dis. 2012;2012:517637. doi: 10.1155/2012/517637. Epub 2012 Dec 17.
Anaerobic bacteria are the predominant normal flora of the mucous membranes which may cause life-threatening disseminated infections and are often difficult to culture from infected sites. Eggerthella (previously known as Eubacteria species) is an anaerobic, nonsporulating, nonmotile, Gram-positive rod that is found in the human colon and feces and has been isolated from various other clinical specimens. We report a case of complicated disseminated anaerobic bacterial infection with Eggerthella lenta in a healthy immunocompetent man causing multiple brain abscesses, liver abscesses, necrotizing pneumonia, and osteomyelitis of the left radial bone. He was successfully treated with empiric penicillin G and metronidazole.
厌氧菌是黏膜的主要正常菌群,可引起危及生命的播散性感染,且通常难以从感染部位培养出来。迟缓埃格特菌(以前称为真细菌属物种)是一种厌氧、不产芽孢、无动力的革兰氏阳性杆菌,存在于人类结肠和粪便中,也已从各种其他临床标本中分离出来。我们报告一例健康免疫功能正常男性发生迟缓埃格特菌所致的复杂性播散性厌氧菌感染,导致多发性脑脓肿、肝脓肿、坏死性肺炎和左侧桡骨骨髓炎。他通过经验性使用青霉素G和甲硝唑成功治愈。