Guevara Nuñez Daiana, De Paulis Adriana N, Bertona Eugenia, Gutiérrez Miguel Ángel, Vay Carlos A, Suárez Juan P, Predari Silvia C
Departamento de Microbiología, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Departamento de Microbiología, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Rev Argent Microbiol. 2017 Oct-Dec;49(4):328-331. doi: 10.1016/j.ram.2017.04.004. Epub 2017 Jul 19.
Bifidobacterium scardovii species consists of facultative anaerobic gram-positive rods whose growth is stimulated by CO and anaerobiosis. Exceptionally it has been associated with infections in humans. An elderly male patient with a urinary tract infection due to B. scardovii and Enterococcus faecalis is presented here; both microorganisms were isolated from two consecutive urine samples. The bacillus did not grow on standard media, but on chocolate agar incubated in CO and on supplemented Brucella agar in an anaerobic atmosphere, incubated for 72h at 35°C. Gram staining with abundant irregular gram-positive rods with Y-shaped ends and some gram-positive cocci alerted to its presence. The importance of the Gram stain test in urine samples with pyuria and the growth on enriched media for long periods is highlighted here. In this case, if we had not had the Gram stain test results, and had considered only the E. faecalis growth, we would have lost the major etiologic agent.
斯卡尔多维双歧杆菌由兼性厌氧革兰氏阳性杆菌组成,其生长受一氧化碳和无氧环境刺激。该菌极少与人类感染有关。本文介绍了一名因斯卡尔多维双歧杆菌和粪肠球菌引起尿路感染的老年男性患者;两种微生物均从两份连续的尿液样本中分离得到。该杆菌在标准培养基上不生长,但在含一氧化碳的巧克力琼脂以及厌氧环境下补充了营养成分的布鲁氏菌琼脂上生长,于35℃培养72小时。革兰氏染色显示有大量末端呈Y形的不规则革兰氏阳性杆菌以及一些革兰氏阳性球菌,提示该菌的存在。本文强调了革兰氏染色试验在脓尿尿液样本中的重要性以及该菌在富集培养基上长时间生长的情况。在这种情况下,如果我们没有革兰氏染色试验结果,仅考虑粪肠球菌的生长,就会遗漏主要病原体。