Nguyen Andrew D K, Moran Deborah, Eland Carole-Lynn, Wilks Kathryn
Department of Medicine, Sunshine Coast University Hospital, Birtinya, Queensland, Australia.
Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Turk J Emerg Med. 2023 Jan 2;23(3):184-187. doi: 10.4103/2452-2473.366856. eCollection 2023 Jul-Sep.
bacteremia is an underappreciated cause of septic shock in the critical care department. Although nominally a coagulase variable and associated with otitis externa infections in canine species, it has been associated with the metastatic infection including osteomyelitis, endocarditis, nephritis, and meningitis in humans. This report records a possible zoonotic case of subspecies bacteremia following canine otitis externa associated with septic shock and endovascular infection precipitating intensive care admission for vasopressor support in an immunocompetent male.
菌血症是重症监护病房中导致感染性休克的一个未得到充分认识的原因。虽然在名义上它是一种凝固酶可变型,且与犬类的外耳道炎感染有关,但它在人类中已与包括骨髓炎、心内膜炎、肾炎和脑膜炎在内的转移性感染相关。本报告记录了一例可能为人畜共患的亚种菌血症病例,该病例发生在一只患有外耳道炎的犬之后,伴有感染性休克和血管内感染,促使一名免疫功能正常的男性因需要血管加压药支持而入住重症监护病房。