Powers Harry R, Shah Kairav
Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
Division of Infectious Diseases & Global Medicine, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
Transpl Infect Dis. 2017 Dec;19(6). doi: 10.1111/tid.12774. Epub 2017 Oct 25.
Bordetella bronchiseptica is a gram-negative coccobacillus that infects animals, but rarely affects humans. B. bronchiseptica has been reported to cause disease in immunocompromised hosts. We present a case of a 61-year-old man with a renal transplant who developed B. bronchiseptica bacteremia likely as a result of close contact between dogs and his skin cancer biopsy sites. The patient was successfully treated with 2 weeks of oral levofloxacin. This case alerts physicians to B. bronchiseptica as a cause of bacteremia in solid organ transplant patients with exposure to animals.
支气管败血波氏杆菌是一种革兰氏阴性球杆菌，可感染动物，但很少感染人类。据报道，支气管败血波氏杆菌可在免疫功能低下的宿主中引起疾病。我们报告一例61岁肾移植男性患者，其发生支气管败血波氏杆菌菌血症，可能是由于狗与他的皮肤癌活检部位密切接触所致。该患者接受了2周的口服左氧氟沙星治疗并成功治愈。该病例提醒医生，对于有动物接触史的实体器官移植患者，支气管败血波氏杆菌可能是菌血症的病因。
