右臂红斑丹毒丝菌性丹毒：一例报告。
Erysipelas of the right arm due to Bordetella trematum: a case report.
机构信息
Geriatric Department, Tours University Hospital, Tours, France.
Infectious Diseases Unit, Tours University Hospital, Tours, France.
出版信息
J Med Case Rep. 2021 Jul 13;15(1):365. doi: 10.1186/s13256-021-02896-1.
BACKGROUND
Bordetella trematum is unknown to most clinicians and microbiologists. However, this Gram-negative opportunistic bacterium can be responsible for ulcer superinfection but also bacteremia and sometimes death by septic shock.
CASE REPORT
We report the case of erysipelas due to B. trematum with bacteremia in an immunocompromised 88-year-old Caucasian patient.
CONCLUSION
In immunocompromised patients, unusual microbial agents such as B. trematum can be responsible for cutaneous and systemic infections, requiring specific antibiotic therapy. Therefore, clinicians should be aware of the need for specific bacterial identification such as matrix-assisted laser desorption ionization time-of-flight mass spectrometry and 16S ribosomal RNA sequencing in the context of atypical evolution of erysipelas in such patients.
背景
大多数临床医生和微生物学家都不了解博德特氏菌。然而，这种革兰氏阴性机会致病菌可导致溃疡性感染，也可导致菌血症，甚至有时因感染性休克而死亡。
病例报告
我们报告了一例免疫功能低下的 88 岁白人患者因博德特氏菌引起的丹毒和菌血症的病例。
结论
在免疫功能低下的患者中，不常见的微生物病原体，如博德特氏菌，可引起皮肤和全身感染，需要特定的抗生素治疗。因此，临床医生应该意识到，在这类患者中，丹毒出现非典型性变化时，需要进行特定的细菌鉴定，如基质辅助激光解吸电离飞行时间质谱和 16S 核糖体 RNA 测序。
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