Smith Thomas J, Osmanzai Yama, Faris Mohamed
Department of Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.
Department of Infectious Disease, Coastal Carolina Infectious Disease, Myrtle Beach, USA.
Cureus. 2023 Jul 28;15(7):e42612. doi: 10.7759/cureus.42612. eCollection 2023 Jul.
is a pathogenic Gram-negative bacillus typically resulting in gastroenteritis in humans. It has recently been identified as a growing concern for public health. The case presented is an uncommon case of causing bacteremia, as well as hemorrhagic skin lesions. Other reported cases have also highlighted unexpected manifestations, such as cerebritis, bacterial peritonitis, and otitis externa. These atypical presentations can happen in immunocompromised individuals. There are no established guidelines currently for the treatment of bacteremia. This case presents bacteremia that improved with doxycycline without the need for incision and drainage of the patient's lower extremity lesions.
是一种致病性革兰氏阴性杆菌，通常会导致人类患肠胃炎。最近，它已被确定为对公共卫生日益令人担忧的问题。所呈现的病例是导致菌血症以及出血性皮肤病变的罕见病例。其他报告的病例也突出了一些意外表现，如脑炎、细菌性腹膜炎和外耳道炎。这些非典型表现可能发生在免疫功能低下的个体中。目前尚无针对治疗菌血症的既定指南。该病例呈现的菌血症通过强力霉素治疗得到改善，无需对患者下肢病变进行切开引流。
