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食用羊肉后由胎儿弯曲杆菌胎儿亚种引起的细菌性心包炎。

Bacterial Pericarditis Caused by Campylobacter fetus subsp. fetus After Mutton Consumption.

作者信息

Shigematsu Takaaki, Shibue Yasushi

机构信息

Infectious Disease, Yokohama City Minato Red Cross Hospital, Yokohama, JPN.

Diabetes and Endocrinology, The Fraternity Memorial Hospital, Tokyo, JPN.

出版信息

Cureus. 2023 Jan 1;15(1):e33213. doi: 10.7759/cureus.33213. eCollection 2023 Jan.

Abstract

subsp. causes systemic diseases including bacteremia and meningitis. However, it rarely causes bacterial pericarditis. We present a rare case of bacterial pericarditis caused by subsp. . A man in his 60s presented with a fever and dyspnea. Electrocardiography revealed ST segment elevation in all leads except augmented vector right (aVR), and contrast-enhanced computed tomography of the chest revealed a large pericardial effusion. subsp. , appearing as curved, gull-wing-shaped gram-negative rods on microscopy, was identified on blood culture. The patient was diagnosed with acute pericarditis caused by subsp. . Further, history-taking revealed that he had consumed undercooked mutton before the onset of his illness. He recovered after treatment with antibiotics (ceftriaxone, ampicillin, and amoxicillin) for four weeks. With a blood culture revealing gull-wing shaped gram-negative rods, and the patient's history including potential contact with animals or the consumption of raw or undercooked meat, subsp. infection should be suspected.

摘要

亚种会引发包括菌血症和脑膜炎在内的全身性疾病。然而,它很少引起细菌性心包炎。我们报告一例由亚种引起的罕见细菌性心包炎病例。一名60多岁的男性出现发热和呼吸困难。心电图显示除右心前导联(aVR)外所有导联ST段抬高,胸部增强计算机断层扫描显示大量心包积液。在血培养中鉴定出亚种,显微镜下可见其为弯曲的、鸥翼状革兰氏阴性杆菌。该患者被诊断为亚种引起的急性心包炎。此外,病史询问显示他在发病前食用了未煮熟的羊肉。经四周抗生素(头孢曲松、氨苄西林和阿莫西林)治疗后康复。鉴于血培养显示鸥翼状革兰氏阴性杆菌,且患者有接触动物或食用生肉或未煮熟肉类的可能病史,应怀疑亚种感染。

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