New York Institute of Technology College of Osteopathic Medicine at Arkansas State University, Jonesboro, Arkansas, USA
BMJ Case Rep. 2020 Nov 23;13(11):e236129. doi: 10.1136/bcr-2020-236129.
A 40-year-old man presented to his primary care physician with a constellation of systemic symptoms and new biofilm forming along his upper airway. He had brought home a deer 10 days prior from a day of hunting, and discovered green purulent material oozing from the entrance/exit wounds. The patient smokes cigarettes and did not use any protective equipment or wash his hands between dressing the deer and smoking. Several days following exposure, he became increasingly short of breath, fatigued, constipated and developed a cough productive of orange sputum. Speaking with state wildlife biologists led to the diagnosis of a zoonotic infection. Initial treatment with broad spectrum antibiotics was ineffective in resolving the infection. An infectious disease appointment was made, but the patient's infection resolved with the use of a veterinarian antibiotic taken under physician's supervision.
一位 40 岁男性因一系列全身症状和上呼吸道中新形成的生物膜，前往初级保健医生处就诊。他在 10 天前的一次狩猎中带回了一只鹿，发现绿色脓性物质从入口/出口处渗出。患者吸烟，在处理鹿和吸烟之间没有使用任何防护设备或洗手。接触后的几天，他逐渐出现呼吸急促、疲劳、便秘和咳嗽并咳出橙色痰。与州立野生动物生物学家的交谈导致了对人畜共患感染的诊断。最初使用广谱抗生素治疗未能有效解决感染。虽然预约了传染病医生，但在医生监督下使用兽医抗生素治疗后，患者的感染得到了缓解。
