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类气球菌——一种未被重视的泌尿道病原体。

Aerococcus-like organism--an unnoticed urinary tract pathogen.

作者信息

Christensen J J, Korner B, Kjaergaard H

机构信息

Department of Clinical Microbiology, Bispebjerg Hospital, Copenhagen, Denmark.

出版信息

APMIS. 1989 Jun;97(6):539-46. doi: 10.1111/j.1699-0463.1989.tb00828.x.

DOI:10.1111/j.1699-0463.1989.tb00828.x
PMID:2736106
Abstract

Aerococci are only occasionally isolated from urinary tract specimens. A 4-month' survey revealed 29 patients suspected of urinary tract infection (UTI), from whom an Aerococcus-like organism (ALO) was isolated in significant numbers from urinary tract specimens and singly in 11 cases. Approximately 0.8% of all urinary tract specimens examined during the period yielded growth of ALO. The median age of patients was 75 years. Half of the patients were found to have conditions predisposing to UTI. 9 of 11 patients without indwelling catheter, having ALO isolated in pure culture from the urine, showed one or more typical signs of UTI (fever, dysuria and/or pollakisuria and pyuria). A phenotypic comparison was made between 29 strains of ALO and 6 related organisms, including Aerococcus viridans, Streptococcus faecium, Streptococcus sanguis, Streptococcus bovis, Streptococcus Group Q and Streptococcus Group R. ALO and A. viridans showed many similarities, but, owing to characteristic differences with regard to colony morphology, biochemical reactions and antibiotic susceptibility pattern, the strains were easily separated.

摘要

气球菌仅偶尔从泌尿道标本中分离出来。一项为期4个月的调查显示,有29例疑似尿路感染(UTI)的患者,其中从泌尿道标本中大量分离出类气球菌(ALO),11例为单独分离。在此期间,所有检查的泌尿道标本中约0.8%培养出ALO。患者的中位年龄为75岁。一半的患者被发现有易患UTI的情况。11例无留置导管且尿液中纯培养分离出ALO的患者中,9例表现出一种或多种UTI的典型症状(发热、排尿困难和/或尿频及脓尿)。对29株ALO菌株和6种相关菌进行了表型比较,这些相关菌包括绿色气球菌、粪肠球菌、血链球菌、牛链球菌、Q群链球菌和R群链球菌。ALO和绿色气球菌表现出许多相似之处,但由于在菌落形态、生化反应和抗生素敏感性模式方面存在特征差异,这些菌株很容易区分。

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