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在泰国度假后发生的嗜冷栖热袍菌菌血症

[Shewanella algae bacteriaemia after a vacation in Thailand].

作者信息

Petersen Anja Sofie, Federspiel Frederik, Dungu Arnold, Søborg Christian

出版信息

Ugeskr Laeger. 2018 Apr 9;180(15).

Abstract

This is a case report of a 56-year-old man, who presented with a very rare cause of erysipelas and bacteraemia caused by the Gram-negative bacillus Shewanella algae. To our knowledge, this is the first reported case of imported Shewanella-infection in Denmark. The patient, who had a history of liver cirrhosis, returned home from a one-month vacation in Thailand. All four blood cultures were positive for S. algae. The patient was treated successfully with IV meropenem and oral ciprofloxacin. S. algae can cause severe local and systemic infection and is not sensitive to standard treatment with penicillin.

摘要

这是一例关于一名56岁男性的病例报告,该患者因革兰氏阴性杆菌海藻希瓦氏菌引发了极为罕见的丹毒和菌血症。据我们所知,这是丹麦首例报告的输入性希瓦氏菌感染病例。该患者有肝硬化病史,从泰国为期一个月的假期回国后发病。所有四份血培养均显示海藻希瓦氏菌呈阳性。患者通过静脉注射美罗培南和口服环丙沙星治疗成功。海藻希瓦氏菌可引发严重的局部和全身感染,且对青霉素标准治疗不敏感。

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