Servicio de Enfermedades Infecciosas, Departmento de Pediatría, Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.
Departmento de Patología Clínica, Departmento de Microbiología Clínica, Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico.
Bol Med Hosp Infant Mex. 2020;77(3):149-152. doi: 10.24875/BMHIM.19000205.
Weeksella virosa is one of the two species of the genus Weeksella. Clinical disease due to this bacterium in humans is rare, for which only nine cases have been reported in the literature.
A 4-year-old male patient was diagnosed with a left orbit rhabdomyosarcoma Stage III and was admitted to a northeast third level referral center in Mexico. Aerobic, non-pigmented, Gram-negative rod was isolated from a blood culture. W. virosa was identified by Sensititre™ ARIS. This organism has been described in cases of spontaneous bacterial peritonitis, sepsis, pneumonia, ventriculitis, and urinary tract infection.
Clinicians should consider the diagnosis of W. virosa bacteremia in cases involving immunocompromised patients with oral lesions, although it is infrequent. To the best of our knowledge, this is the first clinical report of W. virosa bacteremia described in an immunocompromised pediatric patient.
沃氏嗜沫菌是嗜沫菌属的两个物种之一。由该细菌引起的人类临床疾病较为罕见，文献中仅报道了 9 例。
一名 4 岁男性患者被诊断为左侧眼眶横纹肌肉瘤 III 期，并入住墨西哥东北部三级转诊中心。从血培养中分离出需氧、非色素、革兰阴性杆状菌。通过 Sensititre™ ARIS 鉴定为沃氏嗜沫菌。该菌已在自发性细菌性腹膜炎、败血症、肺炎、脑室炎和尿路感染的病例中被描述。
临床医生应考虑在免疫功能低下且有口腔病变的患者中诊断沃氏嗜沫菌菌血症，尽管这种情况较为少见。据我们所知，这是首例在免疫功能低下的儿科患者中描述的沃氏嗜沫菌菌血症的临床报告。
