[黏液罗氏菌感染。一种呼吸道病原体？]

[Infection due to Rothia mucilaginosa. A respiratory pathogen?].

作者信息

Ramos José M, Mateo Ignacio, Vidal Inmaculada, Rosillo Eva M, Merino Esperanza, Portilla Joaquín

机构信息

Servicio de Medicina Interna, Hospital General Universitario de Alicante, Alicante, España; Departamento de Medicina Clínica, Universidad Miguel Hernández, Campus de San Juan, Alicante, España.

Servicio de Medicina Interna, Hospital General Universitario de Alicante, Alicante, España.

出版信息

Enferm Infecc Microbiol Clin. 2014 May;32(5):306-9. doi: 10.1016/j.eimc.2013.12.009. Epub 2014 Feb 16.

DOI:10.1016/j.eimc.2013.12.009

PMID:24533971

Abstract

INTRODUCTION

To describe the spectrum of infections caused by Rothia mucilaginosa.

METHODS

Retrospective study of 20 cases diagnosed with R. mucilaginosa from 2009 to 2012.

RESULTS

Pulmonary infection was the most frequent clinical presentation (n=14, 70%): bronchiectasis infected (10), followed by pleural empyema (2), pneumonia (1) and acute bronchitis (1). Two episodes were of gastrointestinal origin: cholangitis secondary to biliary drainage and secondary peritonitis. Two episodes included bacteremia in patients with hematological malignancy. One patient had a surgical wound infection with bacteremia, and another had a bacteremic urinary tract infection in a patient with nephrostomy.

DISCUSSION

R. mucilaginosa may be responsible for infections of the lower respiratory tract in predisposed patients.

摘要

引言

描述黏液罗氏菌引起的感染谱。

方法

对2009年至2012年诊断为黏液罗氏菌的20例病例进行回顾性研究。

结果

肺部感染是最常见的临床表现（n = 14，70%）：支气管扩张感染（10例），其次是胸膜脓胸（2例）、肺炎（1例）和急性支气管炎（1例）。两例为胃肠道源性：继发于胆汁引流的胆管炎和继发性腹膜炎。两例包括血液系统恶性肿瘤患者的菌血症。1例患者手术伤口感染合并菌血症，另1例肾造瘘患者发生菌血症性尿路感染。