National Center for Global Health and Medicine, Tokyo, Japan.
National Center for Global Health and Medicine, Tokyo, Japan.
J Infect Chemother. 2018 Jan;24(1):65-67. doi: 10.1016/j.jiac.2017.08.016. Epub 2017 Sep 28.
We herein report a case of Vibrio furnissii bacteremia with bilateral lower limb cellulitis. A 53-year-old Japanese man with a mood disorder presented to our hospital with fever and a complaint of an inability to walk. Two sets of blood cultures became positive for V. furnissii. The treatment regimen was modified to ceftazidime and doxycycline. The patient recovered without relapse. Despite thorough examinations, portal of entry of V. furnissii remained unclear. Although the bacteria was first misidentified as V. fluvialis by the phenotyping assay (API rapid ID 32E) and matrix-assisted laser-desorption/ionization time-of-flight mass spectrometry, it was later confirmed as V. furnissii by dnaJ gene sequencing.
我们在此报告一例伴有双侧下肢蜂窝织炎的费氏弧菌菌血症。一名 53 岁患有心境障碍的日本男性因发热和行走困难到我院就诊。两套血培养均为费氏弧菌阳性。治疗方案改为头孢他啶和多西环素。患者无复发痊愈。尽管进行了彻底的检查，但费氏弧菌的感染途径仍不清楚。尽管该细菌最初通过表型分析（API rapid ID 32E）和基质辅助激光解吸/电离飞行时间质谱鉴定为维氏气单胞菌，但后来通过 dnaJ 基因测序确认为费氏弧菌。
