Grabowska-Markowska Jolanta, Pawłowska Iwona, Ziółkowski Grzegorz, Wójkowska-Mach Jadwiga
Społeczne Towarzystwo Hospicjum Cordis, Katowice, Polska.
Wojewódzki Szpital Specjalistyczny Nr 5 Im. Św. Barbary W Sosnowcu, Sosnowiec, Polska.
Wiad Lek. 2019;72(3):489-492.
O. anthropi, formerly known as Achromobacter, is an aerobic, Gram-negative bacillus, widespread in the environment, in various ecological niches. Currently, it is an emerging opportunistic microorganism associated with health care, as well as infections in people with immunodeficiency, mainly in children and newborns. The authors of the presented work present a case of a 13-year-old female patient with a neurodegenerative disorder in which O. anthropi was isolated from blood cultures. She was hospitalized in the Social Society of the Cordis Hospice in Katowice, and after discharge from the hospice she was covered by long-term home care under the supervision of a family doctor. Clinical picture O. anthropi can be very different, causes serious infections, such as blood infections. Due to difficulties in identification, Ochrobactrum anthropi can be a diagnostic and therapeutic challenge. The difficulty in differentiating Ochrobactrum spp. Is also related to the lack of a clear clinical picture of infection with bactera O.anthropi. In addition, this microorganism is difficult to treat due to the natural broad spectrum of antibiotic resistance.
嗜水气单胞菌,以前称为无色杆菌,是一种需氧的革兰氏阴性杆菌,广泛存在于环境中的各种生态位。目前,它是一种新兴的机会性微生物,与医疗保健以及免疫缺陷人群(主要是儿童和新生儿)的感染有关。本文作者报告了一例13岁患有神经退行性疾病的女性患者,其血培养中分离出嗜水气单胞菌。她在卡托维兹科迪斯临终关怀医院的社会协会住院,出院后在家庭医生的监督下接受长期家庭护理。嗜水气单胞菌的临床表现可能非常不同,可引起严重感染,如血液感染。由于鉴定困难,嗜水气单胞菌可能是一个诊断和治疗挑战。区分嗜水气单胞菌属的困难还与嗜水气单胞菌感染缺乏明确的临床症状有关。此外,由于这种微生物天然具有广泛的抗生素耐药性,因此难以治疗。