菌血症，骨髓炎的一种罕见并发症。
bacteremia, a rare complication of osteomyelitis.
作者信息
Gill Malika, Bofinger Jason, Glaser Alexander
机构信息
Pennsylvania Hospital, Penn Medicine, USA.
出版信息
IDCases. 2022 Jan 27;27:e01425. doi: 10.1016/j.idcr.2022.e01425. eCollection 2022.
Abstract
Tissierella praeacuta, also known as Clostridium hastiforme is an anaerobic gram negative bacteria, first isolated in 1908, by P.H. Tissier. To date, there are currently six documented cases of this environmental organism causing infection in humans. Here, we present a patient who was admitted to hospital with osteomyelitis of his right calcaneus, found to subsequently have T. praeacuta bacteremia isolated from anaerobic blood cultures. During his inpatient course, he was treated with IV vancomycin, cefepime, and metronidazole in addition to surgical debridement of his foot wound. The patient was discharged on a course of oral Levofloxacin and Amoxicillin-Clavulanate with significant clinical improvement.
摘要
尖锐前蒂西埃拉菌，也被称为梭形梭菌，是一种厌氧革兰氏阴性菌，于1908年由P.H. 蒂西埃首次分离出来。迄今为止，有六例该环境微生物感染人类的记录病例。在此，我们报告一名因右跟骨骨髓炎入院的患者，随后从厌氧血培养中分离出尖锐前蒂西埃拉菌血症。在其住院期间，除了对足部伤口进行手术清创外，还接受了静脉注射万古霉素、头孢吡肟和甲硝唑治疗。患者出院时接受口服左氧氟沙星和阿莫西林 - 克拉维酸治疗，临床症状有显著改善。
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