Tena Daniel, Fernández Cristina, Lago María R
Sección de Microbiología, Hospital Universitario de Guadalajara.
Jpn J Infect Dis. 2015;68(2):128-30. doi: 10.7883/yoken.JJID.2014.164. Epub 2014 Nov 25.
Skin and soft tissue infection (SSTI) due to Alcaligenes faecalis is very rare and has never been studied. The aim of the present study was to investigate the clinical and microbiological characteristics of this infection. We conducted a retrospective review of 5 cases that occurred at our institution over a period of 6 years. All patients had underlying diseases, and infection was secondary to vascular disease or recent surgery in 4 of them. The most common clinical presentations were vascular ulcer infection and surgical site infection. The clinical outcome was uniformly good after treatment, except in 1 patient. In conclusion, A. faecalis should be considered a potential pathogen of SSTI, particularly in patients with vascular diseases or after surgery. The history of contact with water or aqueous solutions should be investigated in all cases. The clinical outcome is usually good, but treatment can be difficult in some cases due to the high level of resistance to commonly used antibiotics.
粪产碱杆菌引起的皮肤和软组织感染（SSTI）非常罕见，此前从未有过相关研究。本研究的目的是调查这种感染的临床和微生物学特征。我们对本机构6年内发生的5例病例进行了回顾性研究。所有患者均有基础疾病，其中4例感染继发于血管疾病或近期手术。最常见的临床表现是血管溃疡感染和手术部位感染。除1例患者外，治疗后的临床结局均良好。总之，粪产碱杆菌应被视为SSTI的潜在病原体，尤其是在患有血管疾病的患者或手术后的患者中。所有病例均应调查与水或水溶液的接触史。临床结局通常良好，但由于对常用抗生素的高度耐药性，某些情况下治疗可能会很困难。
