Dicpinigaitis Peter V, De Aguirre Manuel, Divito Joseph
Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, 1825 Eastchester Road, Bronx, NY 10461, USA.
Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, 1825 Eastchester Road, Bronx, NY 10461, USA.
Case Rep Infect Dis. 2015;2015:123852. doi: 10.1155/2015/123852. Epub 2015 Aug 31.
Infection with Enterococcus hirae has rarely been reported in humans but is not uncommon in mammals and birds. We describe a case of Enterococcus hirae bacteremia associated with acute pancreatitis, acute cholecystitis, and septic shock responsive to antibiotic therapy and supportive critical care management. Unique aspects of this case of Enterococcus hirae bacteremia are its association with acute pancreatitis and its geographical origin. To our knowledge, this is the first report of Enterococcus hirae bacteremia occurring in a patient in the United States. Although human infection with this organism appears to be rare, all cases reported to date describe bacteremia associated with severe and life-threatening illness. Thus, physicians need to be cognizant of the clinical significance of this heretofore little recognized pathogen.
平肠球菌感染在人类中鲜有报道，但在哺乳动物和鸟类中并不罕见。我们描述了一例与急性胰腺炎、急性胆囊炎相关的平肠球菌菌血症病例，该病例对抗生素治疗和支持性重症监护管理有反应，并引发了感染性休克。该平肠球菌菌血症病例的独特之处在于其与急性胰腺炎的关联及其地理来源。据我们所知，这是美国首例关于平肠球菌菌血症患者的报告。尽管这种生物体在人类中的感染似乎很少见，但迄今为止报告的所有病例均描述了与严重且危及生命的疾病相关的菌血症。因此，医生需要认识到这种迄今为止鲜为人知的病原体的临床意义。
