Oliveira E Silva Fernando, Lacerda Pereira Sara, Santos Ana Sofia, Sarmento António, Santos Lurdes
Infectious Diseases, Centro Hospitalar Universitário de São João, Porto, PRT.
Medicine, Faculdade de Medicina da Universidade do Porto, Porto, PRT.
Cureus. 2023 Jul 13;15(7):e41833. doi: 10.7759/cureus.41833. eCollection 2023 Jul.
is a ubiquitous and opportunist agent that may cause infections related to water activities in humans. It causes mainly skin and soft tissue infections, and other forms of presentation are uncommon. A 27-year-old man presented to the Emergency Department of a tertiary hospital due to a cervical foreign-body sensation that evolved into right cervical swelling and consumption symptoms. He was a waiter on a cruise in the Douro river. Weeks after the initial presentation, the diagnosis of infection was made by positive nucleic acid amplification tests (NAAT) in tissues obtained by excisional biopsy of cervical adenopathy. Treatment with rifampicin and clarithromycin was started. The symptoms improved, and there was a decrease in the adenopathy number and size. Although adenitis as initial presentation of the disease is rare, the identification of the agent by NAAT and favorable response to treatment supported the diagnosis.
是一种普遍存在的机会致病菌，可导致与人类水上活动相关的感染。它主要引起皮肤和软组织感染，其他表现形式并不常见。一名27岁男性因颈部有异物感，后发展为右侧颈部肿胀并伴有消耗症状，就诊于一家三级医院的急诊科。他是一名在杜罗河上的游轮上工作的服务员。初次就诊数周后，通过对颈部淋巴结病切除活检获得的组织进行核酸扩增试验（NAAT）呈阳性，确诊感染。开始使用利福平和克拉霉素进行治疗。症状有所改善，淋巴结病的数量和大小也有所减少。虽然腺炎作为该疾病的初始表现很少见，但通过NAAT鉴定病原体以及对治疗的良好反应支持了诊断。
