Westerveld Donevan, Hussain Jonathan, Aljaafareh Almotasembellah, Ataya Ali
University of Florida College of Medicine, Department of Internal Medicine, USA.
University of Florida College of Medicine, Division of Pulmonology, Critical Care and Sleep Medicine, USA.
Respir Med Case Rep. 2017 Mar 28;21:69-70. doi: 10.1016/j.rmcr.2017.03.018. eCollection 2017.
(), considered an environmental organism, is a gram negative, motile, bacillus with phenotypic similarities to the genus Klebsiella. The organism remains a rare cause of human infection with a few cases reported in the literature. However, since its description in 1981 there have been increasing rates of infections caused by with reports of conjunctivitis, liver abscess, cholangitis, pancreatitis, and necrotizing fasciitis. More concerning are reports of carbapenemase-producing isolates which have led to the only 2 mortalities associated with infections. To our knowledge, we report the third case of pneumonia in an immunocompromised patient with no known direct exposure to the reported risk factors.
()被认为是一种环境微生物,是革兰氏阴性、有动力的杆菌,在表型上与克雷伯菌属相似。该微生物仍然是人类感染的罕见病因,文献中仅有少数病例报道。然而,自1981年其被描述以来,由其引起的感染率不断上升,有结膜炎、肝脓肿、胆管炎、胰腺炎和坏死性筋膜炎的报道。更令人担忧的是产碳青霉烯酶分离株的报道,这些报道导致了与感染相关的仅有的2例死亡病例。据我们所知,我们报告了免疫功能低下患者中第三例肺炎病例,该患者没有已知的直接接触所报道的风险因素的情况。