一名日本患者由[细菌名称1]和[细菌名称2]引起的阴囊脓肿，用头孢唑林和阿莫西林成功治疗：病例报告
Scrotal Abscess in a Japanese Patient Caused by and , Successfully Treated with Cefazolin and Amoxicillin: A Case Report.
作者信息
Watanabe Haruka, Norimatsu Yuta, Ohno Yuki
机构信息
Department of Dermatology, JR Tokyo General Hospital, Tokyo, Japan.
Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan.
出版信息
Int Med Case Rep J. 2021 Jul 13;14:475-481. doi: 10.2147/IMCRJ.S321547. eCollection 2021.
BACKGROUND
Infections caused by , a gram-negative anaerobic bacillus, are rare, with no reported cases in Japan. We present a novel case of scrotal abscess in a Japanese patient co-infected with and .
CASE PRESENTATION
A 41-year-old uncontrolled diabetic man complained of swelling and pain in the scrotum. On examination, computed tomography revealed an abscess of 5-cm diameter in the scrotum. Then, the abscess was incised and drained. He was treated with cefazolin empirically. and were identified in the pus cultures obtained from the abscess. However, the susceptibility tests for could not be submitted. Seven days following admission, the pain reduced, and the drainage slowed. The patient was discharged on day 14 when cefazolin was discontinued and oral amoxicillin (750 mg/day) was started. Amoxicillin was continued until day 42; improvement was confirmed.
CONCLUSION
To the best of our knowledge, this case is the first report of in Japan. We suggest that cephem antibiotics such as cefazolin may be effective against in Japan.
背景
由革兰氏阴性厌氧芽孢杆菌引起的感染较为罕见，在日本尚无病例报道。我们报告一例日本患者阴囊脓肿合并感染该菌及另一菌种的新病例。
病例介绍
一名41岁血糖控制不佳的糖尿病男性主诉阴囊肿胀疼痛。检查发现，计算机断层扫描显示阴囊有一个直径5厘米的脓肿。随后，脓肿被切开引流。经验性给予头孢唑林治疗。从脓肿获取的脓液培养物中鉴定出该菌及另一菌种。然而，该菌的药敏试验未能进行。入院7天后，疼痛减轻，引流减缓。患者于第14天出院，此时停用头孢唑林并开始口服阿莫西林（750毫克/天）。阿莫西林持续服用至第42天；病情得到确认改善。
结论
据我们所知，该病例是日本首例该菌感染报告。我们认为在日本，头孢菌素类抗生素如头孢唑林可能对该菌有效。
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