Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine and University Hospital Cologne, University of Cologne, University Hospital Cologne, Goldenfelsstr. 19 -21, 50935, Cologne, Germany.
BMC Infect Dis. 2024 Jul 14;24(1):697. doi: 10.1186/s12879-024-09604-6.
This case report presents a unique instance of abscesses with an uncommon pathogen isolated from blood cultures.
We present the case of a perianal abscess in a 50-year-old man with a history of cocaine abuse and bilateral hip replacements. The rapid progression led to septic shock and multi-organ failure, requiring intensive care unit admission, surgery including protective transversostomy. Blood cultures showed growth of Butyricimonas spp. with resistance to penicillin and piperacillin-tazobactam. The immediate switch to meropenem led to a significant improvement in the patient's condition. The patient was discharged after 40 days of hospitalization in good general condition and the reversal of the transversostomy was performed six months later.
The identification of Butyricimonas faecihominis, a rarely reported pathogen, emphasizes the challenges of diagnosing and treating unusual infections. This case emphasizes the importance of rapid microbiological diagnosis, interdisciplinary collaboration, and targeted antibiotic therapy in the treatment of abscesses and sepsis.
本病例报告介绍了一例血培养中罕见病原体引起的脓肿的特殊病例。
我们报告了一例 50 岁男性肛周脓肿的病例，该患者有可卡因滥用史和双侧髋关节置换术史。病情迅速恶化导致感染性休克和多器官衰竭，需要入住重症监护病房，进行包括保护性横结肠造口术在内的手术。血培养显示丁酸单胞菌属生长，对青霉素和哌拉西林他唑巴坦耐药。立即换用美罗培南后，患者病情显著改善。患者住院 40 天后，一般情况良好出院，6 个月后行横结肠造口还纳术。
丁酸单胞菌（一种罕见报道的病原体）的鉴定强调了诊断和治疗不常见感染的挑战。本病例强调了快速微生物学诊断、多学科协作和靶向抗生素治疗在脓肿和脓毒症治疗中的重要性。
