Wang Jun, Wei Wei, Peng Yao, Li Jia, Li Huan
Center for Infectious Diseases, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Medicine (Baltimore). 2025 May 9;104(19):e42408. doi: 10.1097/MD.0000000000042408.
Granulicatella adiacens (G adiacens) are colonizing bacteria commonly found in the mouth, intestine, and urogenital tract. These bacteria tend to cause infectious diseases in immunocompromised hosts, such as artificial joint infections, osteomyelitis, meningitis, peritonitis, and lung abscess.
An unusual case involved a 37-year-old female who developed an abdominal wall infection adjacent to G adiacens due to incorrect insulin injection behavior.
The patient received targeted anti-infection treatment, including wound dressing changes and blood glucose management.
Her symptoms, which included fever and a skin rupture with pus and bleeding on the left lower abdomen, improved markedly. She was discharged after 14 days of hospitalization, and her abdominal wound fully healed 5 months later.
This case underscores the importance of prompt identification and careful wound care. The nurse practitioner played a critical role in specimen collection, wound management, antibiotic administration, and patient education. Integrated care and interdisciplinary collaboration were key factors that led to the patient's significant improvement and successful discharge.
毗邻颗粒链菌（G. adiacens）是常见于口腔、肠道和泌尿生殖道的定植菌。这些细菌往往会在免疫功能低下的宿主中引发感染性疾病，如人工关节感染、骨髓炎、脑膜炎、腹膜炎和肺脓肿。
一个不寻常的病例涉及一名37岁女性，她因不正确的胰岛素注射行为而发生了毗邻G. adiacens的腹壁感染。
患者接受了针对性抗感染治疗，包括伤口换药和血糖管理。
她的症状，包括发热以及左下腹皮肤破溃伴脓性分泌物和出血，明显改善。住院14天后出院，5个月后腹部伤口完全愈合。
该病例强调了及时识别和精心伤口护理的重要性。执业护士在标本采集、伤口管理、抗生素给药和患者教育方面发挥了关键作用。综合护理和多学科协作是促使患者显著改善并成功出院的关键因素。
