Bultmann Christoph André, Steiß Jens-Oliver, Langner Cornelia, Benkert Birgit, Havener Magdalena, Küsters Uta, Hühn-Lindenbein Stephan Georg, Mack Dietrich
Bioscientia Institut für Medizinische Diagnostik GmbH, Mikrobiologie/Infektiologie , Ingelheim , Germany.
University Children's Hospital, Giessen, Germany; Practice of Pediatrics, Fulda, Germany.
JMM Case Rep. 2016 Dec 19;3(6):e005074. doi: 10.1099/jmmcr.0.005074. eCollection 2016 Dec.
Wound infections with , a Gram-negative bacterium found in all temperate oceans, are rarely reported. However, a rising incidence of wound infections caused by requires better knowledge about this infectious agent.
We report the case of a 14-year-old boy suffering from a wound infection caused by and after stepping on a sea urchin. Despite wound debridement and antibiotic therapy with cefaclor, the lesion did not heal over several weeks. After identification of the pathogens and antibiotic-susceptibility testing, antibiotic therapy was switched to ciprofloxacin, followed by trimethoprim/sulfamethoxazole. Two months after the accident the wound was re-epithelialized. Follow up after 6 months revealed a painful scar.
Non-cholera vibrios like should be considered as possible causative agents in seawater-contaminated wounds. is a relevant pathogen in mixed wound infections. Early microbiological diagnosis and antibiotic-susceptibility testing is crucial to prevent therapeutic failure.
创伤弧菌是一种存在于所有温带海洋中的革兰氏阴性菌，由其引起的伤口感染鲜有报道。然而，由创伤弧菌引起的伤口感染发病率呈上升趋势，这就需要我们更好地了解这种感染源。
我们报告了一例14岁男孩的病例，该男孩在踩到海胆后，伤口感染了创伤弧菌和溶藻弧菌。尽管进行了伤口清创术并使用头孢克洛进行抗生素治疗，但伤口在数周内并未愈合。在确定病原体并进行药敏试验后，抗生素治疗改为环丙沙星，随后使用甲氧苄啶/磺胺甲恶唑。事故发生两个月后，伤口重新上皮化。6个月后的随访显示有一个疼痛的疤痕。
像创伤弧菌这样的非霍乱弧菌应被视为海水污染伤口的可能病原体。溶藻弧菌是混合伤口感染中的一种相关病原体。早期微生物学诊断和药敏试验对于防止治疗失败至关重要。
