Masudi Bisma, Litvinchuk Tetiana, Byrd Jessica
Osteopathic Medical Student-III, Alabama College of Osteopathic Medicine, Dothan, USA.
Pediatrics, Helen Keller Hospital, Sheffield, USA.
Cureus. 2023 May 27;15(5):e39560. doi: 10.7759/cureus.39560. eCollection 2023 May.
is a gram-positive coccus that has been found in various aquatic and terrestrial animals, as well as in dairy products, and is considered a potential zoonotic bacterium. The pathogen has been recognized as an emerging opportunistic human pathogen, often associated with the ingestion of raw seafood. The most common presentation of infection in humans is infective endocarditis, but it has also been found to have associations with other clinical manifestations. The following is a case report of a 6-year-old male with infected bilateral leg abrasions that occurred after playing in a local creek near his home in northern Alabama, which had livestock including goats, cows, and horses. Wound culture indicated that the bacteria was which was found to be sensitive to ceftriaxone, levofloxacin, linezolid, tetracycline, tigecycline, and vancomycin and resistant to clindamycin. The patient was treated with oral cephalexin and topical gentamicin for ten days, after which there appeared to be an overall improvement in wound healing.
是一种革兰氏阳性球菌，已在各种水生和陆生动物以及乳制品中发现，被认为是一种潜在的人畜共患病细菌。该病原体已被公认为一种新兴的机会性人类病原体，通常与食用生海鲜有关。人类感染最常见的表现是感染性心内膜炎，但也发现它与其他临床表现有关。以下是一例6岁男性的病例报告，该男性在阿拉巴马州北部家中附近的一条当地小溪玩耍后双侧腿部擦伤感染，该小溪有包括山羊、奶牛和马在内的牲畜。伤口培养表明细菌是 ，发现其对头孢曲松、左氧氟沙星、利奈唑胺、四环素、替加环素和万古霉素敏感，对克林霉素耐药。患者接受口服头孢氨苄和局部庆大霉素治疗十天，之后伤口愈合总体上有所改善。
