Tessier Steven, Emengo Ikechukwu, Yoder Nicole, Longo Santo, Ido Firas
MS, Lewis Katz School of Medicine, Temple University/St. Lukes, Bethlehem, PA, USA.
MD, Department of Medicine, St. Luke's University Health Network, Bethlehem, PA, USA.
Germs. 2022 Sep 30;12(3):414-418. doi: 10.18683/germs.2022.1347. eCollection 2022 Sep.
, a zoonotic pathogen, may rarely infect humans through the consumption of fish. Documented manifestations of infection in humans include infective endocarditis, prosthetic joint infections, liver abscesses, peritoneal dialysis-associated peritonitis, osteomyelitis, meningitis, infective spondylodiscitis, acalculous cholecystitis, and urinary tract infection.
An 87-year-old female was hospitalized for coffee-ground emesis secondary to acute gastritis after eating cooked fish. One week after her discharge, she developed new-onset confusion and was returned to the hospital. Chest computed tomography revealed total consolidation of the left lung and a multiloculated left pleural effusion. The patient required intubation and direct admission to the intensive care unit. Pleural fluid and blood cultures grew , which was susceptible to ceftriaxone, penicillin, and vancomycin. Despite intensive antibiotic therapy and supportive care for thirteen days, the patient remained in irreversible shock, and the family opted for comfort care.
Heretofore unreported, this case demonstrates that can cause bronchopneumonia and empyema.
是一种人畜共患病原体，很少通过食用鱼类感染人类。人类感染 的记录表现包括感染性心内膜炎、人工关节感染、肝脓肿、腹膜透析相关腹膜炎、骨髓炎、脑膜炎、感染性脊椎间盘炎、无结石胆囊炎和尿路感染。
一名87岁女性因食用熟鱼后急性胃炎导致咖啡渣样呕吐住院。出院一周后，她出现新发意识模糊并返回医院。胸部计算机断层扫描显示左肺完全实变和左肺多房性胸腔积液。患者需要插管并直接入住重症监护病房。胸腔积液和血培养检出 ，对头孢曲松、青霉素和万古霉素敏感。尽管进行了13天的强化抗生素治疗和支持治疗，患者仍处于不可逆休克状态，家属选择了舒适护理。
此前未报告过，该病例表明 可引起支气管肺炎和脓胸。
