Okabayashi Asako, Hasegawa Mizue, Sato Akitoshi, Katsura Hideki, Kamata Toshiko, Koh Eitetsu, Sekine Yasuo
Divisions of Respiratory Medicine, Tokyo Women's Medical University Yachiyo Medical Center, 477-96 Owadashinden, Yachiyo City, Chiba, 276-8524, Japan.
Divisions of Thoracic Surgery, Tokyo Women's Medical University Yachiyo Medical Center, 477-96 Owadashinden, Yachiyo City, Chiba, 276-8524, Japan.
Respir Med Case Rep. 2017 Apr 13;21:138-141. doi: 10.1016/j.rmcr.2017.04.012. eCollection 2017.
is a subspecies of the complex, which rarely causes disease in humans. We encountered a case of respiratory infection, possibly caused by , which was successfully treated by levofloxacin and clarithromycin. Although DNA-DNA hybridization identified in one of three samples, clinical validations convinced us that it was the pathogen. 16s ribosomal RNA sequencing would have been reliable and ideal to perform in this case, although it is not covered by the insurance system in Japan. Nevertheless, this experience remains to be instructive because the clinical course, guidelines on the diagnosis, and therapeutic strategies for respiratory infections caused by are not well-known or have not been established. Awareness of the possibility of respiratory infections caused by and further collection and analysis of its predisposing conditions are essential.
是复合体的一个亚种，很少在人类中引起疾病。我们遇到了一例可能由引起的呼吸道感染病例，该病例通过左氧氟沙星和克拉霉素成功治愈。尽管DNA-DNA杂交在三个样本中的一个中鉴定出了，但临床验证使我们确信它就是病原体。在这种情况下，16s核糖体RNA测序本应是可靠且理想的检测方法，尽管日本的保险系统未涵盖此项检测。然而，这段经历仍具有指导意义，因为由引起的呼吸道感染的临床病程、诊断指南和治疗策略并不广为人知或尚未确立。认识到由引起呼吸道感染的可能性以及进一步收集和分析其诱发因素至关重要。
