Miyamatsu Yayoi, Tanizaki Ryutaro, Yamada Satoko, Tsujimura Isuzu, Wakabayashi Hideki
Department of Internal Medicine, Ise Municipal General Hospital, 3038, Kusubecho, Ise, Mie, Japan.
Department of Clinical Laboratory, Ise Municipal General Hospital, 3038, Kusubecho, Ise, Mie, Japan.
IDCases. 2021 Jan 20;23:e01053. doi: 10.1016/j.idcr.2021.e01053. eCollection 2021.
is an organism occasionally isolated in humans but rarely causes bacteremia. We report the first case of cellulitis with bacteremia due to in a patient undergoing mantle-cell lymphoma. A 51-year-old man presented with a two-month history of fever and bilateral leg pain and redness. Despite oral ciprofloxacin administration, his symptoms had not improved. The blood culture sample in the anaerobic bottle yielded positive results and was identified by mass spectrometry. The bacteremia did not initially respond to oral azithromycin but responded to intravenous meropenem and amikacin for five days followed by oral minocycline. This report indicates that bacteremia may be treated with oral minocycline following short-term intravenous antimicrobial therapy even among patients undergoing hematological malignancies.
是一种偶尔在人类中分离出的微生物，但很少引起菌血症。我们报告了首例因患套细胞淋巴瘤的患者发生菌血症并发蜂窝织炎的病例。一名51岁男性有两个月的发热、双侧腿部疼痛和发红病史。尽管服用了口服环丙沙星，他的症状并未改善。厌氧瓶中的血培养样本结果呈阳性，通过质谱法鉴定出了 。菌血症最初对口服阿奇霉素无反应，但对静脉注射美罗培南和阿米卡星治疗五天有反应，随后口服米诺环素。本报告表明，即使在血液系统恶性肿瘤患者中，短期静脉抗菌治疗后，菌血症也可用口服米诺环素治疗。
