1例伴有脱硫脱硫弧菌血症的肝脓肿病例
A Case of Liver Abscess with Desulfovibrio desulfuricans Bacteremia.
作者信息
Koyano Saho, Tatsuno Keita, Okazaki Mitsuhiro, Ohkusu Kiyofumi, Sasaki Takashi, Saito Ryoichi, Okugawa Shu, Moriya Kyoji
机构信息
Department of Infection Control and Prevention, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo, Tokyo 113-8655, Japan.
Department of Microbiology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, Gifu 501-1194, Japan.
出版信息
Case Rep Infect Dis. 2015;2015:354168. doi: 10.1155/2015/354168. Epub 2015 Jan 8.
Abstract
Desulfovibrio spp. are gram-negative, sulfate-reducing, and anaerobic bacteria found in the digestive tract of humans. Because Desulfovibrio spp. are infrequent causative agents of infectious diseases and are difficult to isolate and to identify from clinical specimens, the appropriate antibiotic therapy to infection with Desulfovibrio spp. has not been determined. We report the first case of liver abscess with bacteremia due to Desulfovibrio desulfuricans to show the clinical presentation and treatment. The patient was successfully treated with intravenous piperacillin-tazobactam and oral amoxicillin-clavulanic acid.
摘要
脱硫弧菌属是革兰氏阴性、硫酸盐还原厌氧菌，存在于人类消化道中。由于脱硫弧菌属是传染病的罕见病原体，且难以从临床标本中分离和鉴定，因此尚未确定针对脱硫弧菌属感染的合适抗生素治疗方法。我们报告了首例由脱硫脱硫弧菌引起的肝脓肿伴菌血症病例，以展示其临床表现和治疗情况。该患者通过静脉注射哌拉西林-他唑巴坦和口服阿莫西林-克拉维酸成功治愈。
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