Lim Yong Kwan, Kweon Oh Joo, Kim Hye Ryoun, Kim Tae Hyoung, Lee Mi-Kyung
Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Department of Urology, Chung-Ang University College of Medicine, Seoul, Korea.
APMIS. 2017 Jul;125(7):665-668. doi: 10.1111/apm.12693. Epub 2017 May 11.
Janibacter hoylei has previously been isolated only from an air sample in the upper atmosphere and clinical significance of J. hoylei was not yet established. Herein, we report a case of bacteremia caused by J. hoylei. An 8-week-old previously healthy male infant presented to the emergency room with fever. Blood culture yielded growth of Gram-positive bacilli and this microorganism could not be identified with conventional phenotypic methods. The isolate was identified by 16S rRNA gene sequencing, and the patient was successfully treated with vancomycin. To our knowledge, this is the first report of the recovery of J. hoylei in humans. This case shows that J. hoylei can be a potential pathogen in young children.
霍伊氏詹氏菌此前仅从高层大气中的空气样本中分离得到,其临床意义尚未明确。在此,我们报告一例由霍伊氏詹氏菌引起的菌血症病例。一名8周大、此前健康的男婴因发热被送往急诊室。血培养结果显示革兰氏阳性杆菌生长,且用传统表型方法无法鉴定该微生物。通过16S rRNA基因测序鉴定出该分离株,患者接受万古霉素治疗后康复。据我们所知,这是人类中首次分离出霍伊氏詹氏菌的报告。该病例表明,霍伊氏詹氏菌可能是幼儿的潜在病原体。