Fukui Miho, Iwai Shunsuke, Sakamoto Ryunosuke, Takahashi Hiroko, Hayashi Tsuneo, Kenzaka Tsuneaki
Yoka Hospital, Japan.
Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Japan.
Intern Med. 2017 Dec 15;56(24):3395-3397. doi: 10.2169/internalmedicine.8164-16. Epub 2017 Sep 25.
We herein report a rare case of Clostridium paraputrificum bacteremia in an elderly (88-year-old) man without a predisposing medical condition. Although he had a history of anaerobic bacteremia approximately eight months prior to admission, no gastrointestinal disease was discovered. He was treated with intravenous ampicillin/sulbactam. This case suggests that C. paraputrificum bacteremia can result from only minor abnormalities in macroscopically normal mucosal barriers. To our knowledge, this is the first report of C. paraputrificum bacteremia in Japan.
我们在此报告一例罕见的副腐败梭菌菌血症病例,患者为一名无基础疾病的老年男性(88岁)。尽管他在入院前约八个月有过厌氧菌血症病史,但未发现胃肠道疾病。他接受了静脉注射氨苄西林/舒巴坦治疗。该病例表明,副腐败梭菌菌血症可能仅由宏观上正常的黏膜屏障中的微小异常引起。据我们所知,这是日本首例副腐败梭菌菌血症报告。