Suzuki Kiyozumi, Yanai Mitsuru, Hayashi Yuta, Otsuka Hiromasa, Kato Kimitoshi, Soma Masayoshi
Division of General Medicine, Department of Internal Medicine, Nihon University School of Medicine, Japan.
Intern Med. 2018 Mar 15;57(6):893-897. doi: 10.2169/internalmedicine.9314-17. Epub 2017 Dec 8.
Edwardsiella tarda is commonly isolated from aquatic environments and a variety of animals. We present the first case of E. tarda bacteremia with psoas and epidural abscess. The patient was a 65-year-old woman with recurrent gastric cancer who had frequently consumed raw fish and grilled eel. She was successfully treated with antimicrobials and surgery. We also review reports published in English regarding E. tarda bacteremia in Japan and the experience at our hospital. On the basis of this review, we conclude that the major underlying disease leading to E. tarda bacteremia is malignancy and that the gastrointestinal tract is the most commonly affected organ. The overall mortality rate due to E. tarda bacteremia in our review was 38.1% (8/21). Although E. tarda bacteremia is rare, clinicians should be aware of this fatal food-borne infection.
迟缓爱德华氏菌通常从水生环境和各种动物中分离得到。我们报告了首例伴有腰大肌和硬膜外脓肿的迟缓爱德华氏菌败血症病例。患者为一名65岁的复发性胃癌女性，经常食用生鱼和烤鳗鱼。她通过抗菌药物治疗和手术成功治愈。我们还回顾了日本关于迟缓爱德华氏菌败血症的英文报道以及我院的经验。基于此回顾，我们得出结论，导致迟缓爱德华氏菌败血症的主要基础疾病是恶性肿瘤，且胃肠道是最常受累的器官。在我们的回顾中，迟缓爱德华氏菌败血症的总体死亡率为38.1%（8/21）。尽管迟缓爱德华氏菌败血症罕见，但临床医生应意识到这种致命的食源性感染。
