Shigematsu Takaaki, Shibue Yasushi
Infectious Disease, Yokohama City Minato Red Cross Hospital, Yokohama, JPN.
Diabetes and Endocrinology, The Fraternity Memorial Hospital, Tokyo, JPN.
Cureus. 2023 Jan 1;15(1):e33213. doi: 10.7759/cureus.33213. eCollection 2023 Jan.
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.
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。