Parrey Ashaq Hussain, Sofi Fayaz, Ahmad Mushtaq, Kuchay Abid
Shere-i-Kashmir Institute of Medical Sciences, Srinagar, India.
Reumatologia. 2016;54(6):318-320. doi: 10.5114/reum.2016.64909. Epub 2016 Dec 30.
organisms are Gram-positive cocci that are widely distributed in hospital environments and room air. These bacteria have infrequently been encountered as human pathogens causing bacteremia, endocarditis and urinary tract infections. The significance of these bacteria may be overlooked due to their fastidious growth, and they are often confused with other strains of streptococci or staphylococci.
We present a case of manifesting as cutaneous vasculitis in an immunocompetent patient. A 30-year-old female patient was admitted to hospital after two weeks history of fever, chills and papular rash over the limbs and trunk. The clinical diagnosis of vasculitis was made. Investigations revealed elevated leucocytosis (21.7 × 10/l) with 81% of neutrophils, and an elevated erythrocyte sedimentation rate or 60 mm/h. Serum anti-neutrophil cytoplasmic antibodies (ANCAs) were not found. Blood culture showed growth of . Histopathological assessment of skin biopsy revealed cutaneous vasculitis.
To date, no clinical case report of this kind has been reported implicating in cutaneous vasculitis. Increased awareness and more studies of this genus should lead to the identification of its potential role in human infections.
[具体细菌名称]为革兰氏阳性球菌，广泛分布于医院环境和室内空气中。这些细菌作为引起菌血症、心内膜炎和尿路感染的人类病原体很少被发现。由于其生长要求苛刻，这些细菌的重要性可能被忽视，并且它们常常与其他链球菌或葡萄球菌菌株混淆。
我们报告一例在免疫功能正常的患者中表现为皮肤血管炎的病例。一名30岁女性患者在出现发热、寒战以及四肢和躯干丘疹性皮疹两周后入院。做出了血管炎的临床诊断。检查显示白细胞增多（21.7×10⁹/L），中性粒细胞占81%，红细胞沉降率升高至60mm/h。未发现血清抗中性粒细胞胞浆抗体（ANCA）。血培养显示[具体细菌名称]生长。皮肤活检的组织病理学评估显示为皮肤血管炎。
迄今为止，尚无关于[具体细菌名称]导致皮肤血管炎的此类临床病例报告。提高对该菌属的认识并开展更多研究应能明确其在人类感染中的潜在作用。
