Sánchez-Códez María, Lubián-Gutiérrez Manuel, Blanca-García José A, Pérez Aragón Cristina
Departamento de Infectología Pediátrica, Hospital Universitario Puerta del Mar, Cádiz, España.
Servicio de Pediatría, Hospital Universitario Puerta del Mar, Cádiz, España.
Arch Argent Pediatr. 2019 Apr 1;117(2):e147-e149. doi: 10.5546/aap.2019.e147.
Leclercia adecarboxylata and Raoultella ornithinolytica are emergent Gram-negative bacteria. Infections caused by these microorganisms are exceptional. Improvement of microbiologist techniques in the last years has enabled their detection and more accurate knowledge. We present the case of an 11-year-old boy with mitochondrial disease with a longterm central catheter who suffered from two sepsis caused by L. adecarboxylata and R. ornithinolytica, respectively. In catheter-related infections, sometimes it is possible to provide antimicrobial treatment without removal of catheter with good results, as in our patient. It is important to recognize L. adecarboxylata and R. ornithinolytica like increasingly frequent pathogenic bacteria, mostly in immunocompromised or chronic patients.
去羧勒克菌和鸟氨酸拉乌尔菌是新出现的革兰氏阴性菌。由这些微生物引起的感染很罕见。近年来微生物学技术的改进使得它们能够被检测到并得到更准确的认识。我们报告一例11岁患有线粒体疾病且长期留置中心导管的男孩，他分别遭受了由去羧勒克菌和鸟氨酸拉乌尔菌引起的两次败血症。在导管相关感染中，有时在不拔除导管的情况下给予抗菌治疗也能取得良好效果，就像我们的患者一样。认识到去羧勒克菌和鸟氨酸拉乌尔菌是越来越常见的病原菌很重要，尤其是在免疫功能低下或慢性疾病患者中。
