Takamura Noriko, Tada Katsushige, Ishioka Haruhiko, Gomi Harumi
Center for Global Health, Mito Kyodo General Hospital, University of Tsukuba, Japan.
Intern Med. 2019 Jun 1;58(11):1645-1647. doi: 10.2169/internalmedicine.2162-18. Epub 2019 Feb 1.
An 81-year-old Japanese man with no history of diabetes mellitus was admitted to our hospital for a fever with a new ulcerative lesion on the left heel. Blood cultures on admission grew Arcanobacterium haemolyticum in aerobic bottles. He was therefore diagnosed with A. haemolyticum bacteremia and osteomyelitis complicated with foot decubitus ulcer. He was successfully treated with intravenous antibiotic therapy and debridement of the left heel. Our case and literature review show that it is important to recognize that A. haemolyticum is a systemic causative pathogen in immunocompetent patients in primary care practice.
一名81岁无糖尿病病史的日本男性因发热伴左脚跟部新发溃疡性病变入住我院。入院时血培养在需氧瓶中培养出溶血隐秘杆菌。因此，他被诊断为溶血隐秘杆菌菌血症和骨髓炎并发足部褥疮溃疡。通过静脉抗生素治疗和左脚跟清创术，他得到了成功治疗。我们的病例及文献回顾表明，在初级医疗实践中，认识到溶血隐秘杆菌是免疫功能正常患者的全身性致病病原体很重要。
