Ørum Matilde, Fuglsang-Damgaard David, Nielsen Hans Linde
Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
BMJ Case Rep. 2017 Jan 18;2017:bcr2016218084. doi: 10.1136/bcr-2016-218084.
The Gram-negative, rod-shaped, anaerobe bacteria Tissierella praeacuta was first described in 1908 by Tissier. However, during the past decade, Clostridium hastiforme has been recognised as a later synonym of T. praeacuta. C. hastiforme/T. praeacuta has only rarely been described in previous literature as a cause of human infection. We present here a case report of C. hastiforme/T. praeacuta bacteraemia secondary to pyometra in a 64-year-old woman with a history of multiple sclerosis and an intrauterine device inserted three decades earlier. C. hastiforme/T. praeacuta was isolated from blood as well as pus from the site of infection. The patient was cured with a combination of drainage and antibiotic therapy.
革兰氏阴性、杆状厌氧菌尖锐前蒂西埃氏菌最早于1908年由蒂西埃描述。然而，在过去十年中，梭状芽胞杆菌已被认定为尖锐前蒂西埃氏菌的后起同义词。在先前的文献中，梭状芽胞杆菌/尖锐前蒂西埃氏菌作为人类感染病因的报道极为罕见。我们在此报告一例64岁女性因子宫积脓继发梭状芽胞杆菌/尖锐前蒂西埃氏菌菌血症的病例，该女性有多发性硬化病史，三十年前放置了宫内节育器。从血液以及感染部位的脓液中分离出了梭状芽胞杆菌/尖锐前蒂西埃氏菌。患者通过引流和抗生素联合治疗得以治愈。
