Anjana Aravinda, Adhikary Ranjeeta, Bhavana Malavalli Venkatesh, Beena Hosdurg Bhaskar
Department of Lab Medicine, Manipal Hospital, Bangalore, Karnataka, India.
J Lab Physicians. 2022 Oct 20;15(1):166-168. doi: 10.1055/s-0042-1757235. eCollection 2023 Mar.
, due to its robust survival abilities, has been known to cause nosocomial and opportunistic infections, posing both diagnostic and therapeutic challenges. Low virulence, indolent clinical presentation, and lack of awareness on their clinical significance attribute to the underreporting of the same. We report two cases of bacteremia in oncology patients presented to us in a short span of 6 months, which indicates that such infections might be quite common in immunocompromised hosts. Both our strains were susceptible to carbapenems, trimethoprim/sulfamethoxazole, and minocycline, and recovered with monotherapy. More vigilant and accurate diagnostic techniques need to be followed not to miss such pathogens. Early identification and administration of appropriate antibiotics have been associated with a good outcome.
由于其强大的生存能力，已知会引起医院感染和机会性感染，带来诊断和治疗方面的挑战。低毒力、隐匿的临床表现以及对其临床意义缺乏认识导致此类感染报告不足。我们报告了在短短6个月内收治的两例肿瘤患者菌血症病例，这表明此类感染在免疫功能低下宿主中可能相当常见。我们的两株菌株对碳青霉烯类、甲氧苄啶/磺胺甲恶唑和米诺环素敏感，采用单一疗法即可治愈。需要采用更警惕、准确的诊断技术，以免漏诊此类病原体。早期识别并给予适当抗生素与良好预后相关。
