动物园柏杰氏菌引起感染性心内膜炎患者菌血症：病例报告及文献复习
Bacteremia caused by Bergeyella zoohelcum in an infective endocarditis patient: case report and review of literature.
作者信息
Chen Yili, Liao Kang, Ai Lu, Guo Penghao, Huang Han, Wu Zhongwen, Liu Min
机构信息
Department of Laboratory Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
出版信息
BMC Infect Dis. 2017 Apr 12;17(1):271. doi: 10.1186/s12879-017-2391-z.
BACKGROUND
Bergeyella zoohelcum is an aerobic, Gram-negative bacterium that is frequently isolated from the upper respiratory tract of dogs, cats and other mammals. Clinically, B. zoohelcum has been reported causing cellulitis, tenosynovitis, leg abscess and septicemia, which is closely connected with animal bites. Here we describe a case of bacteremia in an infective endocarditis (IE) patient caused by B. zoohelcum, in China.
CASE PRESENTATION
A 27-year-old infective endocarditis woman who had no history of dog bite nor other mammal exposure suffered bacteremia caused by B. zoohelcum. This patient, without evidence of polymicrobial infection, was treated with cefuroxime and had a good outcome.
CONCLUSIONS
B. zoolhelcum bacteremia is rarely reported in IE patients. Our report expands the range of known bacterial causes of infective endocarditis.
背景
动物溃疡伯格菌是一种需氧革兰氏阴性菌，常从狗、猫和其他哺乳动物的上呼吸道分离得到。临床上，动物溃疡伯格菌已被报道可引起蜂窝织炎、腱鞘炎、腿部脓肿和败血症，这与动物咬伤密切相关。在此，我们描述了中国一例由动物溃疡伯格菌引起的感染性心内膜炎（IE）患者的菌血症病例。
病例介绍
一名27岁的感染性心内膜炎女性，既无被狗咬伤史，也无其他哺乳动物接触史，却患上了由动物溃疡伯格菌引起的菌血症。该患者无多重微生物感染证据，接受头孢呋辛治疗后预后良好。
结论
IE患者中动物溃疡伯格菌血症鲜有报道。我们的报告扩展了已知的感染性心内膜炎细菌病因范围。
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