Hussain Ali, Gondal Mohsin, Yousuf Hira, Ganai Jan, Junaid Mahboob Muhammad
Acute Medicine, Pinderfields General Hospital, Wakefield, GBR.
Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR.
Cureus. 2020 Aug 13;12(8):e9719. doi: 10.7759/cureus.9719.
species are opportunistically pathogenic, gram-negative bacilli that are part of marine microflora. Infection caused by species in humans is rare and mostly acquired after direct contact with seawater or ingestion of raw seafood. The exact pathogenesis remains unclear. Cutaneous infections are among the most common manifestation with underlying skin diseases and immune-compromised states; however, bacteremia from lungs, abdominal, and biliary sepsis has also been reported. These infections are difficult to diagnose due to limited physicians' experience and scarce microbiological data available. Hence, delayed diagnosis and treatment could be fatal and may result in sepsis with multi-organ failure. Our case report reiterates the fact that careful attention should be devoted to unusual circumstances in history and atypical pathogens on cultures if there is no or minimal clinical improvement after antibiotics.
该菌为机会致病菌,革兰氏阴性杆菌,是海洋微生物群落的一部分。人类感染该菌的情况罕见,大多是在直接接触海水或食用生海鲜后感染。确切发病机制尚不清楚。皮肤感染是最常见的表现,常伴有潜在皮肤病和免疫功能低下状态;然而,也有肺部、腹部和胆源性败血症导致菌血症的报道。由于医生经验有限且微生物学数据稀缺,这些感染难以诊断。因此,诊断和治疗延迟可能是致命的,可能导致败血症和多器官功能衰竭。我们的病例报告重申了这样一个事实:如果使用抗生素后临床改善不明显或没有改善,应仔细关注病史中的异常情况和培养出的非典型病原体。