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加氏乳杆菌相关的下肢严重软组织感染:一例报告

Lactobacillus gasseri associated severe soft tissue infection of the lower extremity: A case report.

作者信息

Christ Alexandra, Naegeli Michelle, Staud Clement, Radtke Christine

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Austria.

Department of Pathology, Beth Israel Deaconess Medical Center, Boston, MA, USA.

出版信息

IDCases. 2024 Jul 31;37:e02048. doi: 10.1016/j.idcr.2024.e02048. eCollection 2024.

DOI:10.1016/j.idcr.2024.e02048
PMID:39184330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11342285/
Abstract

BACKGROUND

are gram-positive, lactic acid-producing, facultative anaerobes of the human microbiota located in the human gastrointestinal tract, genitourinary tract, and the oral cavity and are considered non-pathogenic. When certain risk factors are present, they have the potential to cause serious infections. The incidence of localized infections associated with are rare and to our knowledge we present the first known case of severe soft tissue infection of the extremity linked to a strain.

CASE PRESENTATION

We describe the case of a 41-year-old man with a history of type 2 Diabetes Mellitus (DM), arterial hypertension and schizophrenia, who was admitted for weakness, high fever of 39.7 °C (103.5°F) and an abscess formation of the left thigh caused by an infection with .

CONCLUSION

While infections caused by are rare, it is crucial not to underestimate the potential of typically non-pathogenic bacteria like to act as infectious agents in immunocompromised patients. Abscess drainage and antibiotic treatment were successful treatment strategies for this rare case of soft tissue infection cause by

摘要

背景

[细菌名称]是革兰氏阳性、产乳酸的兼性厌氧菌,存在于人类胃肠道、泌尿生殖道和口腔中,被认为是非致病性的。当存在某些危险因素时,它们有可能引发严重感染。与[细菌名称]相关的局部感染发病率很低,据我们所知,我们报告了首例与[细菌名称]菌株相关的严重肢体软组织感染病例。

病例报告

我们描述了一名41岁男性的病例,他有2型糖尿病(DM)、动脉高血压和精神分裂症病史,因虚弱、39.7°C(103.5°F)的高热以及由[细菌名称]感染导致的左大腿脓肿形成而入院。

结论

虽然由[细菌名称]引起的感染很少见,但至关重要的是不要低估像[细菌名称]这样通常非致病性细菌在免疫功能低下患者中作为感染源的可能性。脓肿引流和抗生素治疗是这种罕见的软组织感染病例的成功治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/93e7a29e8b3b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/64569a8b6413/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/27ad160af2c5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/93e7a29e8b3b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/64569a8b6413/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/27ad160af2c5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b81/11342285/93e7a29e8b3b/gr3.jpg

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本文引用的文献

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Lactobacilli Infection Case Reports in the Last Three Years and Safety Implications.近三年乳酸菌感染病例报告及安全性影响
Nutrients. 2022 Mar 11;14(6):1178. doi: 10.3390/nu14061178.
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Lactobacillus gasseri liver abscess and bacteremia: a case report.格氏乳杆菌肝脓肿并菌血症:一例报告。
BMC Infect Dis. 2021 Jun 2;21(1):518. doi: 10.1186/s12879-021-06181-w.
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Lactobacillus endocarditis: a case report in France and literature review.乳酸杆菌性心内膜炎:法国的一例病例报告及文献综述
IDCases. 2020 May 17;21:e00811. doi: 10.1016/j.idcr.2020.e00811. eCollection 2020.
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A taxonomic note on the genus : Description of 23 novel genera, emended description of the genus Beijerinck 1901, and union of and .关于属的分类学注释:描述 23 个新属,修订 1901 年 Beijerinck 属的描述,并将 和 合并。
Int J Syst Evol Microbiol. 2020 Apr;70(4):2782-2858. doi: 10.1099/ijsem.0.004107. Epub 2020 Apr 15.
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