Badawi Karim, Deskins Seth, Catherman Kristen, Lastinger Allison
Department of Medicine, West Virginia University School of Medicine, Morgantown, WV, the United States of America.
Department of Internal Medicine/Pediatrics, West Virginia University School of Medicine, Morgantown, WV, the United States of America.
IDCases. 2022 Jul 13;29:e01573. doi: 10.1016/j.idcr.2022.e01573. eCollection 2022.
is a gram-negative rod initially isolated from condensation at the Russian Mir space station. In the literature, there are few cases of human isolates that have been identified, with only one prior case of urinary tract infection (UTI). Here we report a case of a patient with a chronic suprapubic catheter that was found to have UTI with fistulization between the bladder and pubic symphysis, leading to osteomyelitis and surrounding pyomyositis. He was placed on Tigecycline based on susceptibility profile, underwent bilateral nephrostomy tube placement and discharged home with close outpatient follow-up. With the increasing use of novel detection methods, accurate identification and antimicrobial susceptibility testing is necessary for this multidrug resistant organism and others like it.
是一种革兰氏阴性杆菌，最初从俄罗斯和平号空间站的冷凝物中分离出来。在文献中，已鉴定出的人类分离株病例很少，仅有一例先前的尿路感染（UTI）病例。在此，我们报告一例患有慢性耻骨上导尿管的患者，该患者被发现患有UTI，膀胱与耻骨联合之间形成瘘管，导致骨髓炎和周围脓性肌炎。根据药敏结果，他接受了替加环素治疗，进行了双侧肾造瘘管置入，并在密切的门诊随访下出院回家。随着新型检测方法的使用增加，对于这种耐多药微生物及其他类似微生物，准确鉴定和抗菌药敏试验是必要的。
