Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Med Microbiol. 2024 Jan-Feb;47:100514. doi: 10.1016/j.ijmmb.2023.100514. Epub 2023 Dec 1.
Neisseria mucosa is saprophytic human commensal but reported as a causative agent in a couple of urinary tract infections [UTI] in susceptible individuals. In the present case, a young girl with long standing neurological problems presented with bladder outlet obstruction and fever. Her urine culture yielded Neisseria mucosa which was susceptible to broad spectrum penicillins, aminoglycosides, cephalosporins, ciprofloxacin, and azithromycin. She recovered with suitable dosage of amoxicillin clavulanic acid and was discharged. Isolation of N. mucosa here becomes clinically significant as this girl had various ureteric and lower limb weaknesses in past and was symptomatic for UTI with this infection.
粘膜炎奈瑟菌是一种腐生的人体共生菌，但有报道称在一些易感个体中可引起尿路感染[UTI]。在本病例中，一名患有长期神经系统问题的年轻女孩出现膀胱出口梗阻和发热。她的尿液培养出粘膜炎奈瑟菌，该菌对广谱青霉素、氨基糖苷类、头孢菌素、环丙沙星和阿奇霉素敏感。她使用合适剂量的阿莫西林克拉维酸治疗后康复出院。在此，粘膜炎奈瑟菌的分离具有重要的临床意义，因为该女孩过去曾有多种输尿管和下肢无力的情况，并因该感染而出现 UTI 症状。
