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是一种机会致病菌:在一名无腹泻的免疫功能低下患者中发生复发性菌血症。

is an opportunistic pathogen: recurrent bacteraemia in an immunocompromised patient without diarrhoea.

作者信息

Soelberg Kerstin K, Danielsen Trille K L, Martin-Iguacel Raquel, Justesen Ulrik S

机构信息

Department of Clinical Microbiology, Odense University Hospital, Denmark.

Department of Infectious Diseases, Odense University Hospital, Denmark.

出版信息

Access Microbiol. 2020 Jun 12;2(8):acmi000145. doi: 10.1099/acmi.0.000145. eCollection 2020.

Abstract

INTRODUCTION

is attracting increasing interest due to its possible pathogenic properties. Researchers have described cases in which is isolated in stool samples from patients with gastrointestinal symptoms, mostly diarrhoea. The relevance of adding our case to the literature lies in its description of recurrent bacteraemia in a patient without diarrhoea.

CASE PRESENTATION

An immunocompromised patient was hospitalized three times within 12 months due to induced bacteraemia. At no time did the patient experience diarrhoea even though examination of stool samples showed growth of . The isolate was susceptible to gentamicin, colistin and tetracyclines. The patient was successfully treated with doxycycline.

CONCLUSION

For the first time in the literature we describe recurrent bacteraemia in a patient without diarrhoea. This case supports the classification of as an opportunistic pathogenic species, which clinical microbiology laboratories should be able to identify.

摘要

引言

由于其可能的致病特性,正吸引着越来越多的关注。研究人员描述了从有胃肠道症状(主要是腹泻)的患者粪便样本中分离出该菌的病例。将我们的病例补充到文献中的意义在于,它描述了一名无腹泻患者反复发生的菌血症。

病例介绍

一名免疫功能低下的患者在12个月内因诱导性菌血症住院三次。尽管粪便样本检查显示该菌生长,但患者从未出现腹泻。分离出的菌株对庆大霉素、黏菌素和四环素敏感。患者接受强力霉素治疗成功。

结论

我们在文献中首次描述了一名无腹泻患者反复发生的菌血症。该病例支持将该菌归类为机会致病菌,临床微生物实验室应能够识别。

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本文引用的文献

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