Kunitomo Kotaro, Uemura Naomichi, Shimizu Taro, Hayano Satoshi, Tsuji Takahiro
Department of General Medicine, Kumamoto Medical Center, 1-5, Ninomaru, Kumamoto, Kumamoto, 860-0008, Japan.
Department of Nephrology, Kumamoto Medical University Hospital, Kumamoto 860-8556, Japan.
IDCases. 2022 Jul 8;29:e01564. doi: 10.1016/j.idcr.2022.e01564. eCollection 2022.
is a halophilic species found in marine and estuarine environments worldwide. It is a rare pathogen whose impact on humans has remained unclear; only two cases of infection have been reported in humans, so far. A 63-year-old man with a history of myocardial infarction and type 2 diabetes mellitus presented to the emergency department with fever and dyspnea. Physical examination demonstrated notable abdominal distension and bilateral lower leg edema. marked abdominal distension and bilateral lower leg edema. The patient was diagnosed with bacteremia and exacerbated heart failure. Blood and skin cultures revealed the presence of the gram-negative pathogen . Combined antibiotic therapy using intravenous tazobactam /piperacillin resulted in a gradual recovery with no recurrence observed at the 9-month follow-up. To the best of our knowledge, this is the third case of infection reported in humans and the first one to be associated with skin and soft tissue infection. We suggest that although is a rare pathogen, it should be considered as a potential infective agent in the differential diagnosis of immunocompromised patients, regardless of any recent exposure to seawater or marine products.
是一种在全球海洋和河口环境中发现的嗜盐菌种。它是一种罕见的病原体,其对人类的影响尚不清楚;迄今为止,人类中仅报告了两例感染病例。一名有心肌梗死和2型糖尿病病史的63岁男性因发热和呼吸困难就诊于急诊科。体格检查显示明显腹胀和双侧小腿水肿。血液和皮肤培养显示存在革兰氏阴性病原体。静脉注射他唑巴坦/哌拉西林联合抗生素治疗使病情逐渐恢复,在9个月的随访中未观察到复发。据我们所知,这是人类报告的第三例感染病例,也是第一例与皮肤和软组织感染相关的病例。我们建议,尽管是一种罕见的病原体,但在免疫功能低下患者的鉴别诊断中,无论近期是否接触过海水或海产品,都应将其视为潜在的感染源。