Barakat Salim, Kim Hyunwoo, Dankar Razan, Hewlett Chadik
Internal Medicine, Northwell Health/Staten Island University Hospital, Staten Island, USA.
Internal Medicine, Touro College of Osteopathic Medicine, New York, USA.
Cureus. 2024 Oct 17;16(10):e71704. doi: 10.7759/cureus.71704. eCollection 2024 Oct.
is a gram-positive bacterium used in agriculture, with rare human infections that typically occur in immunocompromised individuals through environmental exposure. This report discusses the case of a 30-year-old intravenous drug user and polysubstance abuser who developed bacteremia due to . The patient originally presented with fever and leg ulcers from injection sites, and he was successfully treated with vancomycin. This case underscores the importance of recognizing atypical pathogens like in intravenous drug users, particularly when contaminated drug paraphernalia is involved. Although generally low in virulence, this bacterium can cause systemic infections under certain conditions. Prompt identification and treatment are crucial to prevent complications, highlighting the need for increased clinical awareness and appropriate microbiological investigations in this vulnerable population.
是一种用于农业的革兰氏阳性细菌，人类感染罕见，通常通过环境暴露在免疫功能低下的个体中发生。本报告讨论了一名30岁静脉吸毒者和多种药物滥用者因……而发生菌血症的病例。患者最初表现为发热和注射部位的腿部溃疡，他接受万古霉素治疗成功。该病例强调了识别静脉吸毒者中像……这样的非典型病原体的重要性，特别是当涉及受污染的吸毒用具时。虽然这种细菌的毒力一般较低，但在某些情况下可引起全身感染。及时识别和治疗对于预防并发症至关重要，突出了在这一脆弱人群中提高临床意识和进行适当微生物学调查的必要性。
