University of Kansas School of Medicine, Kansas City, Kansas, USA
Internal Medicine, The University of Kansas Health System, Kansas City, Kansas, USA.
BMJ Case Rep. 2022 Mar 24;15(3):e247496. doi: 10.1136/bcr-2021-247496.
A 34-year-old man on active chemotherapy was hospitalised with fever, chills and rigours after power-washing a pig pen on a farm. His blood cultures grew , a gram-negative rod in the family, which has been isolated from a variety of environments including soil, surface water, as well as in the gastrointestinal flora of farm animals. The likely source of infection was his tunnelled central venous catheter exposed to water contaminated by faeces when he was washing the pig pen. While there have been several cases reported of catheter-related bacteraemia, to our knowledge there are very few reports of infection spread in this manner.
一位 34 岁正在接受积极化疗的男性，因在农场清洗猪圈后出现发热、寒战和肌肉痉挛而住院。他的血液培养物中生长出一种革兰氏阴性杆菌，这种杆菌存在于多种环境中，包括土壤、地表水以及农场动物的胃肠道菌群中。感染的可能来源是他的隧道式中心静脉导管，在清洗猪圈时暴露于被粪便污染的水中。虽然已经有几例导管相关菌血症的报道，但据我们所知，这种方式传播感染的报道非常少。
