沃纳葡萄球菌：皮肤共生菌及尿路感染的罕见病因。
Staphylococcus warneri: Skin Commensal and a Rare Cause of Urinary Tract Infection.
作者信息
Kanuparthy Aparna, Challa Tejo, Meegada Sreenath, Siddamreddy Suman, Muppidi Vijayadershan
机构信息
Internal Medicine, University of Texas Health Science Center/Christus Good Shepherd Medical Center, Longview, USA.
Internal Medicine, Baptist Health Medical Center, Little Rock, USA.
出版信息
Cureus. 2020 May 28;12(5):e8337. doi: 10.7759/cureus.8337.
Abstract
Coagulase negative Staphylococci often grow in cultures and form one of the most abundant flora among skin microbiome. It is important and challenging to identify and treat clinically significant infections caused by these organisms. Prosthetic devices, catheters and conditions causing immunocompromised states are the risk factors for such infections. We describe a case of clinically significant and symptomatic urinary tract infection (UTI) in a 65-year-old man with liver cirrhosis caused by Staphylococcus warneri which forms <1% of Staphylococcal skin flora. He was treated successfully with fluoroquinolone antibiotic based on culture results. It is important to understand potential of this organism to cause serious infections which warrant culture-directed antibiotic therapy.
摘要
凝固酶阴性葡萄球菌常在培养物中生长，是皮肤微生物群中最丰富的菌群之一。识别和治疗由这些微生物引起的具有临床意义的感染既重要又具有挑战性。假体装置、导管以及导致免疫功能低下状态的情况是此类感染的危险因素。我们描述了一例65岁肝硬化男性患者发生的具有临床意义且有症状的尿路感染（UTI），该感染由华纳葡萄球菌引起，这种菌在葡萄球菌皮肤菌群中占比不到1%。根据培养结果，他接受氟喹诺酮类抗生素治疗并成功治愈。了解这种微生物引起严重感染的可能性很重要，这需要进行基于培养结果的抗生素治疗。
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