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一名80岁白种男性患多杀巴斯德菌血症伴膝关节置换术后感染

Pasteurella multocida Bacteremia With Associated Knee Arthroplasty Infection in an 80-Year-Old Caucasian Man.

作者信息

Arbefeville Sophie, Harris Anthony, Dittes Steven, Ferrieri Patricia

机构信息

Department of Laboratory Medicine and Pathology, University of Minnesota Medical School

Department of Laboratory Medicine and Pathology, University of Minnesota Medical School.

出版信息

Lab Med. 2016 Aug;47(3):241-5. doi: 10.1093/labmed/lmw034. Epub 2016 Jul 4.

DOI:10.1093/labmed/lmw034
PMID:27378482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4985777/
Abstract

OBJECTIVES

To identify the gram-negative rods grown from blood cultures and a right-knee fluid aspirate from an 80-year-old caucasian man who had undergone a total right knee arthroplastic procedure 6 years ago, and to assess the genetic similarity between the 2 isolates.

METHODS

We used 3 different approaches: biochemical testing, matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry, and 16S ribosomal RNA (rRNA) gene sequencing.

RESULTS

The 3 methods identified the gram-negative rods as Pasteurella multocida; 16S rRNA gene sequencing further identified the organisms as P. multocida subsp. septica.

CONCLUSION

A concordant identification of P. multocida was observed using biochemical testing, mass spectrometry, and 16S rRNA gene sequencing. Only 16S rRNA sequencing was able to determine the subspecies of P. multocida and to determine the genetic relatedness of the 2 isolates.

摘要

目的

鉴定从血液培养物和一名80岁白人男性右膝液抽吸物中培养出的革兰氏阴性杆菌,该男性6年前接受了全右膝关节置换手术,并评估这两种分离株之间的基因相似性。

方法

我们采用了3种不同的方法:生化检测、基质辅助激光解吸电离飞行时间(MALDI-TOF)质谱分析和16S核糖体RNA(rRNA)基因测序。

结果

这3种方法均将革兰氏阴性杆菌鉴定为多杀巴斯德菌;16S rRNA基因测序进一步将该菌鉴定为多杀巴斯德菌败血亚种。

结论

使用生化检测、质谱分析和16S rRNA基因测序对多杀巴斯德菌的鉴定结果一致。只有16S rRNA测序能够确定多杀巴斯德菌的亚种,并确定这两种分离株的基因相关性。

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本文引用的文献

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[Pasteurella multocida septic arthritis in total knee prosthesis: report of a case].全膝关节假体感染多杀巴斯德菌性败血症性关节炎:病例报告
Pan Afr Med J. 2015 Apr 15;20:366. doi: 10.11604/pamj.2015.20.366.6155. eCollection 2015.
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Pasteurella multocida non-native joint infection after a dog lick: A case report describing a complicated two-stage revision and a comprehensive review of the literature.多杀巴斯德菌非原生关节感染继发于狗舔舐:一例复杂两阶段翻修病例报告并文献复习
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Clinical Features and Outcomes of Pasteurella multocida Infection.多杀巴斯德菌感染的临床特征与结局
Medicine (Baltimore). 2015 Sep;94(36):e1285. doi: 10.1097/MD.0000000000001285.
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[Periprosthetic knee infection after a cat bite].猫咬伤后人工膝关节感染
Orthopade. 2015 Aug;44(8):639-42. doi: 10.1007/s00132-015-3140-x.
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Prosthetic joint infection.人工关节感染
Clin Microbiol Rev. 2014 Apr;27(2):302-45. doi: 10.1128/CMR.00111-13.
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Pasteurella multocida: from zoonosis to cellular microbiology.多杀巴斯德菌:从动物传染病到细胞微生物学。
Clin Microbiol Rev. 2013 Jul;26(3):631-55. doi: 10.1128/CMR.00024-13.
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