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[由脱硫脱硫弧菌引起的腹部脓毒症病例描述]

[Description of a case of abdominal sepsis due to Desulfovibrio desulfuricans].

作者信息

Machaca Marianela, Bodean María Luz, Montaña Sabrina, García Susana D, Stecher Daniel, Vay Carlos A, Almuzara Marisa N

机构信息

Laboratorio de Bacteriología, Hospital Pablo Soria, San Salvador de Jujuy, Argentina.

División Infectología, Universidad de Buenos Aires, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina.

出版信息

Rev Argent Microbiol. 2022 Oct-Dec;54(4):314-317. doi: 10.1016/j.ram.2022.05.002. Epub 2022 Jun 7.

Abstract

Desulfovibrio spp. are strict anaerobes that are ubiquitous in nature. They can reside in the human or animal gastrointestinal tract and, as they are also environmental bacteria, may be present in soil and water. They can persist asymptomatically in the intestine or behave as opportunistic pathogens associated with primary bacteremia and intraabdominal infections. Several Desulfovibrio spp. infections may be underestimated due to their slow growth rate and because many laboratories do not routinely perform anaerobic cultures. Simple tests such as motility detection on a fresh subculture, Gram stain to confirm cell morphology, presence of HS in SIM agar and production of a red fluorescence in alkaline pH under UV light would be indicative of Desulfovibrio spp. Here we report the case of Desulfovibrio desulfuricans bacteremia in a woman with clinical picture of abdominal sepsis due to gangrenous appendicitis with multiple organ failure.

摘要

脱硫弧菌属是严格厌氧菌,在自然界中普遍存在。它们可存在于人类或动物的胃肠道中,并且由于它们也是环境细菌,可能存在于土壤和水中。它们可在肠道中无症状地持续存在,或表现为与原发性菌血症和腹腔内感染相关的机会致病菌。由于其生长速度缓慢,且许多实验室不常规进行厌氧培养,几种脱硫弧菌属感染可能被低估。诸如在新鲜传代培养物上进行运动性检测、革兰氏染色以确认细胞形态、在SIM琼脂中检测硫化氢以及在紫外光下碱性pH条件下产生红色荧光等简单试验,可提示脱硫弧菌属。在此,我们报告1例因坏疽性阑尾炎伴多器官衰竭而出现腹部脓毒症临床表现的女性患者发生脱硫脱硫弧菌菌血症的病例。

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