Robb Andrew R, Wright Elizabeth D, Foster Adele M E, Walker Robert, Malone Colin
Scottish Microbiology Reference Laboratories, Glasgow Royal Infirmary, New Lister Building, 10-16 Alexandra Parade, Glasgow G31 2ER, UK.
Department of Microbiology, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, UK.
JMM Case Rep. 2017 Mar 20;4(3):jmmcr005087. doi: 10.1099/jmmcr.0.005087. eCollection 2017 Mar.
, an opportunistic pathogen of dogs and cats, is rarely reported to cause infection in humans. Here, we describe a case of severe skin infection caused by , in a 47-year-old male, a dog owner; to the best of our knowledge, this is the first such case reported from Scotland. The patient presented with a short history of a severe ecthyma-like lesion on his forehead, with smaller lesions on his abdomen and legs. Bacterial culture revealed , thought to be colonizing the wound, and a species, identified as by matrix-assisted laser desorption/ionization-time of flight MS and confirmed by molecular methods using a PCR-RFLP approach. The patient was treated with flucloxacillin, penicillin V and Fucibet cream, and recovered fully. Zoonotic infection was considered likely; however, screening swabs from his dogs grew of a different clonal type. Both patient and dog strains carried exfoliative toxin and leucocidin I, closely related to Panton-Valentine leucocidin, possibly contributing to the severity of the infection. , although coagulase positive, is normally negative by rapid slide clumping and latex agglutination tests routinely used to identify . Hence, may easily be misidentified as a coagulase-negative staphylococcus and considered insignificant. This is, to the best of our knowledge, the first reported case of a human infection in Scotland. Zoonotic transmission of between pets and owners has been shown. However, in this case zoonosis could not be confirmed.
作为犬猫的一种机会性致病菌,很少有其感染人类的报道。在此,我们描述一例由其引起的严重皮肤感染病例,患者为一名47岁男性犬主;据我们所知,这是苏格兰首例此类报道病例。患者前额出现严重脓疱疮样损害病史较短,腹部和腿部有较小损害。细菌培养发现,该菌被认为是在伤口定植,还有一种细菌,通过基质辅助激光解吸/电离飞行时间质谱鉴定为[具体菌种名称],并通过使用PCR-RFLP方法的分子学方法得以确认。患者接受氟氯西林、青霉素V和肤轻松软膏治疗后完全康复。人畜共患病感染被认为很可能发生;然而,从其犬只采集的筛查拭子培养出的是不同克隆型的[具体菌种名称]。患者和犬只菌株均携带剥脱毒素和白细胞毒素I,与庞蒂亚克-瓦伦丁白细胞毒素密切相关,可能导致了感染的严重性。[具体菌种名称]虽然凝固酶阳性,但通常通过常规用于鉴定[另一种相关菌种名称]的快速玻片凝集和乳胶凝集试验呈阴性。因此,[具体菌种名称]可能很容易被误鉴定为凝固酶阴性葡萄球菌并被认为无关紧要。据我们所知,这是苏格兰首例报道的人类[具体菌种名称]感染病例。已证实宠物与主人之间存在[具体菌种名称]的人畜共患病传播。然而,在该病例中无法确诊人畜共患病。