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1 年内同一位患者先后两次发生由不同分离株的食源性链球菌引起的菌血症。

Two episodes of bacteremia of zoonotic origin caused by different Streptococcus canis isolates in the same patient within a time span of 1 year.

机构信息

Clinical Microbiology and Parasitology Department, Basurto University Hospital, Avenida Montevideo 18, 48013, Bilbao, Vizcaya, Spain.

Biocruces Bizkaia Health Research Institute, Cruces Plaza, 48903, Barakaldo, Vizcaya, Spain.

出版信息

Eur J Clin Microbiol Infect Dis. 2024 Feb;43(2):383-387. doi: 10.1007/s10096-023-04718-2. Epub 2023 Nov 24.

DOI:10.1007/s10096-023-04718-2
PMID:37996728
Abstract

Two episodes of bacteremia of cutaneous origin in a female patient were caused by two unrelated Streptococcus canis isolates within 1-year interval between the two infection episodes. The most likelihood transmission route in both episodes was a dog pet that habitually licked patient´s legs. Isolates were characterised by antimicrobial susceptibility test and whole genome sequencing. They belonged to sequence type (ST) 40 and 43, respectively. The ST40 isolate harboured antimicrobial resistance genes aadE, ermB and tetO, displaying resistance to erythromycin, clindamycin and tetracyclines, while ST43 isolate did not presented any known antimicrobial resistance determinant and was susceptible to all antibiotics tested. S. canis infections are rare in human; however, attention is needed for patients at risk with companion animals.

摘要

一位女性患者在一年内发生了两起因皮肤来源的菌血症,这两起感染分别由两种不相关的犬链球菌分离株引起。在这两起感染中,最有可能的传播途径是一只经常舔舐患者腿部的宠物狗。分离株通过药敏试验和全基因组测序进行了特征描述。它们分别属于序列型 40 和 43。ST40 分离株携带 aadE、ermB 和 tetO 等抗菌药物耐药基因,对红霉素、克林霉素和四环素耐药,而 ST43 分离株未表现出任何已知的抗菌药物耐药决定因子,对所有测试的抗生素均敏感。人感染犬链球菌较为罕见;然而,需要对有宠物的高危患者加以关注。

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本文引用的文献

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Streptococcus dysgalactiae Bloodstream Infections, Norway, 1999-2021.无乳链球菌血流感染,挪威,1999-2021 年。
Emerg Infect Dis. 2023 Feb;29(2):260-267. doi: 10.3201/eid2902.221218.
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Antibiotic-resistant status and pathogenic clonal complex of canine Streptococcus canis-associated deep pyoderma.犬源链球菌相关性深层脓皮病的耐药状况和致病克隆复合体。
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A case of Streptococcus canis bacteremia, osteomyelitis, sacroiliitis, myositis, and abscess.犬链球菌菌血症、骨髓炎、骶髂关节炎、肌炎和脓肿病例。
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An Outbreak of Subclinical Mastitis in a Dairy Herd Caused by a Novel Sequence Type (ST55).由新型序列型(ST55)引起的奶牛场亚临床乳腺炎暴发
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Draft Genome Sequence of Streptococcus canis Clinical Strain OT1, Isolated from a Dog Owner with Invasive Infection without a Dog Bite in Japan.从日本一名无犬咬伤史的侵袭性感染犬主身上分离出的犬链球菌临床菌株OT1的基因组序列草图
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Human native endocarditis caused by Streptococcus canis-a case report.犬链球菌引起的人类原发性心内膜炎——病例报告
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Diagnosis of periprosthetic joint infection: the utility of next-generation sequencing.人工关节周围感染的诊断:新一代测序技术的应用价值
Arthroplast Today. 2017 Nov 3;4(1):20-23. doi: 10.1016/j.artd.2017.08.005. eCollection 2018 Mar.
8
SCM, the M Protein of Binds Immunoglobulin G.链球菌细胞壁多糖(SCM),其M蛋白与免疫球蛋白G结合。
Front Cell Infect Microbiol. 2017 Mar 28;7:80. doi: 10.3389/fcimb.2017.00080. eCollection 2017.
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Recurrent bacteremia with Streptococcus dysgalactiae: a case-control study.伴无乳链球菌的复发性菌血症:一项病例对照研究。
Diagn Microbiol Infect Dis. 2016 May;85(1):121-4. doi: 10.1016/j.diagmicrobio.2016.01.011. Epub 2016 Jan 22.
10
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