Madi Deepak R, Vidyalakshmi K, Ramapuram John, Shetty Avinash K
Department of Medicine and Department of Microbiology, Kasturba Medical College, Mangalore (affiliated to Manipal University), Karnataka, India; Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Department of Medicine and Department of Microbiology, Kasturba Medical College, Mangalore (affiliated to Manipal University), Karnataka, India; Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina
Am J Trop Med Hyg. 2015 Nov;93(5):1066-7. doi: 10.4269/ajtmh.15-0226. Epub 2015 Aug 24.
Infection due to Chromobacterium violaceum is rare. Diagnosis may be delayed since Chromobacterium sepsis may mimic melioidosis, especially in melioidosis-endemic areas. Management of Chromobacterium infection is challenging given the propensity of this pathogen to cause visceral abscesses, drug resistance, and relapse. Mortality rates are high despite treatment. We report a case of C. violaceum septicemia in an immunocompetent adult from south India, who was successfully treated with combination antibiotic therapy. Physicians in tropical and subtropical regions must be aware of C. violaceum infection as it can mimic melioidosis.
紫色色杆菌感染较为罕见。由于紫色色杆菌败血症可能类似类鼻疽,尤其是在类鼻疽流行地区,因此诊断可能会延迟。鉴于这种病原体易引发内脏脓肿、耐药性和复发,紫色色杆菌感染的治疗颇具挑战性。尽管进行了治疗,但死亡率仍然很高。我们报告一例来自印度南部的免疫功能正常成年人的紫色色杆菌败血症病例,该患者通过联合抗生素治疗获得成功治愈。热带和亚热带地区的医生必须意识到紫色色杆菌感染,因为它可能类似类鼻疽。