Tena Daniel, Losa Cristina, Medina María José, Sáez-Nieto Juan Antonio
Sección de Microbiología, Hospital Universitario de Guadalajara, Guadalajara, Spain.
Sección de Microbiología, Hospital Universitario de Guadalajara, Guadalajara, Spain.
Diagn Microbiol Infect Dis. 2014 May;79(1):108-10. doi: 10.1016/j.diagmicrobio.2014.01.023. Epub 2014 Jan 30.
Cupriavidus gilardii is a rare cause of human infection. We report a muscular abscess on the right thigh caused by this organism in a renal transplant recipient, who had suffered a septic shock associated with an extensive cellulitis caused by Streptococcus pyogenes. The patient was successfully treated with surgical drainage and intravenous ciprofloxacin for 13 days. This is the first time that C. gilardii is isolated from a human abscess. C. gilardii should be considered as a cause of human infection, especially in immunocompromised patients. Infection caused by this organism may be underdiagnosed because the identification is very difficult.
吉氏贪铜菌是人类感染的罕见病因。我们报告了一例肾移植受者右大腿肌肉脓肿，该脓肿由这种微生物引起，患者曾因化脓性链球菌导致的广泛蜂窝织炎而发生感染性休克。患者通过手术引流和静脉注射环丙沙星治疗13天，获得成功。这是首次从人类脓肿中分离出吉氏贪铜菌。应将吉氏贪铜菌视为人类感染的病因，尤其是在免疫功能低下的患者中。由于该微生物的鉴定非常困难，其引起的感染可能未得到充分诊断。
