Warren Alpert Medical School of Brown University; Division of Nephrology, Rhode Island Hospital, Providence, RI.
R I Med J (2013). 2020 Oct 1;103(8):46-49.
Corynebacterium striatum is emerging as an opportunistic pathogen in immunocompromised hosts. End-stage renal disease remains an underappreciated state of immunocompromise. We present a series of individuals with end-stage kidney disease on hemodialysis who developed Corynebacterium striatum bacteremia, which was initially thought to be a contaminant, but eventually recognized as the culprit pathogen. We review the bacteriology of C. striatum, increasing resistance, as well as known cases of C. striatum bacteremia in the setting of end-stage renal disease. These cases highlight the importance of a high index of suspicion when interpreting bacterial cultures in patients with end-stage renal disease.
条纹棒状杆菌正成为免疫功能低下宿主的机会性病原体。终末期肾病仍然是一种被低估的免疫功能低下状态。我们介绍了一系列接受血液透析的终末期肾病患者，他们发生了条纹棒状杆菌菌血症，最初被认为是污染菌，但最终被确认为病原体。我们回顾了条纹棒状杆菌的细菌学、不断增加的耐药性，以及终末期肾病患者条纹棒状杆菌菌血症的已知病例。这些病例强调了在解释终末期肾病患者的细菌培养物时，保持高度怀疑的重要性。
