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1例急性脑梗死住院患者的脱硫脱硫弧菌败血症:病例报告及文献复习

Desulfovibrio desulfuricans bacteremia in a patient hospitalized with acute cerebral infarction: case report and review.

作者信息

Hagiwara Shigehiro, Yoshida Atsushi, Omata Yuki, Tsukada Yumiko, Takahashi Hirohumi, Kamewada Hitoshi, Koike Saiko, Okuzumi Katsuko, Hishinuma Akira, Kobayashi Kunihiko, Nakano Masayasu

机构信息

Depertment of Clinical Laboratory, Utsunomiya Saiseikai Hospital, 911-1, Takebayashi 321-0974, Japan.

Infection Control and Prevention, and Clinical Laboratory Medicine, Dokkyo Medical University Hospital, Tochigi, Japan.

出版信息

J Infect Chemother. 2014 Apr;20(4):274-7. doi: 10.1016/j.jiac.2013.10.009. Epub 2013 Dec 11.

Abstract

Desulfovibrio spp. can be found in soil, water, and sewage, as well as in the digestive tracts of animals and humans. We report a case of Desulfovibrio desulfuricans bacteremia during hospitalization with acute cerebral infarction following aspiration bronchopneumonia and severe diarrhea, and the case strongly suggests that Desulfovibrio spp. bacteremia can occur as an infection due to disturbance of endogenous gut flora including antibiotic administration. Because Desulfovibrio spp. is difficult to detect in short-time incubation, its bacteremia is possibly overlooked in hospitalized patients. A few clinical cases of D. desulfuricans bacteremia have been reported in Japan, and they are reviewed briefly in this article.

摘要

脱硫弧菌属可存在于土壤、水和污水中,也存在于动物和人类的消化道中。我们报告了1例因吸入性支气管肺炎和严重腹泻后发生急性脑梗死而住院期间出现脱硫脱硫弧菌菌血症的病例,该病例有力地表明,脱硫弧菌属菌血症可能是由于包括抗生素使用在内的内源性肠道菌群紊乱而发生的感染。由于脱硫弧菌属在短时间培养中难以检测到,其菌血症在住院患者中可能被忽视。日本已报道了几例脱硫脱硫弧菌菌血症的临床病例,本文将对其进行简要综述。

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