Zong Zhiyong
Center of Infectious Diseases, West China Hospital, Sichuan University, China.
Intern Med. 2014;53(16):1877-9. doi: 10.2169/internalmedicine.53.2319. Epub 2014 Aug 15.
Elizabethkingia meningoseptica is recovered from urine samples in very unusual cases, although the clinical significance of its detection remains unclear. Four cases of E. meningoseptica bacteriuria were analyzed, and E. meningoseptica was found to be the causative agent of healthcare-associated bacteriuria, including urinary tract infections, asymptomatic bacteriuria and transient bacteriuria, primarily in elderly patients with diabetes. Although E. meningoseptica cultured from urine was found to be resistant to most antimicrobial agents, bacteriuria caused by E. meningoseptica resolved in all four cases. However, instances of death have also been previously reported.
脑膜败血伊丽莎白金菌在极不寻常的情况下才会从尿液样本中分离出来,尽管其检测的临床意义仍不明确。分析了4例脑膜败血伊丽莎白金菌菌尿症病例,发现脑膜败血伊丽莎白金菌是医疗保健相关菌尿症的病原体,包括尿路感染、无症状菌尿症和短暂菌尿症,主要发生在老年糖尿病患者中。虽然从尿液中培养出的脑膜败血伊丽莎白金菌对大多数抗菌药物耐药,但在所有4例病例中,由脑膜败血伊丽莎白金菌引起的菌尿症均得到缓解。然而,此前也有死亡病例的报道。