Ahmed Abeera, Zaman Gohar, Gardezi Adeel, Satti Luqman, Sabir Nargis, Haleem Aliya
Department of Microbiology, Armed Forces Institute of Pathology, Rawalpindi.
Department of Radiology, Military Hospital, Rawalpindi.
J Coll Physicians Surg Pak. 2018 Sep;28(9):S181-S183. doi: 10.29271/jcpsp.2018.09.S181.
Streptococcus pluranimalium, a gram-positive aerobic coccus, has been isolated primarily from several farm animals. The pathogenicity of this species is not well characterised either in animals or humans. As per the literature, cases of S. pluranimalium infection in humans have been reported only a handful of times. We report the case of cerebral abscess caused by S. pluranimalium in a patient who presented with weakness and confusion. The diagnosis of cerebral abscess was made on imaging supported by microbiological culture. Burr hole procedure for abscess drainage followed by an antibiotic regimen based on culture and sensitivity results contributed to a successful outcome. The bacteria were identified by analytical profile index for Streptococci (API Strep) and VITEK 2 gram-positive cocci panel. The case was successfully treated with vancomycin.
多动物源链球菌是一种革兰氏阳性需氧球菌，主要从多种农场动物中分离得到。该菌种在动物和人类中的致病性均未得到充分表征。根据文献记载，人类感染多动物源链球菌的病例仅被报道过少数几次。我们报告了一例多动物源链球菌引起的脑脓肿病例，该患者表现为虚弱和意识模糊。脑脓肿的诊断基于影像学检查，并得到微生物培养结果的支持。采用钻孔引流术治疗脓肿，随后根据培养和药敏结果给予抗生素治疗，最终取得了成功。通过链球菌分析谱指数（API Strep）和VITEK 2革兰氏阳性球菌鉴定板对细菌进行了鉴定。该病例使用万古霉素治疗成功。
