Kato Mikiro, Kobayashi Hiroyuki, Uchida Takuro
Department of Infectious Diseases, Mito Kyodo General Hospital, Ibaraki, Japan.
Department of Internal Medicine, Mito Kyodo General Hospital, Ibaraki, Japan.
Case Rep Infect Dis. 2025 May 15;2025:6547509. doi: 10.1155/crdi/6547509. eCollection 2025.
The incidence of infections caused by , phylogenetically related however distinct from , has increased since its identification in 2008. Differences in their unique microbiological features have been highlighted, particularly regarding their phenotypic distinctions in the colony pigmentation and hemolysis. This is largely due to being misidentified as , using the current automated microbial identification systems. However, clinical aspects and outcomes of infections remain unclear as few clinically relevant cases have been reported and considered similar to infections. Consequently, we reported an extremely rare case of bacteremia, which was initially diagnosed as a infection, however was later confirmed to be a infection, using 16S ribosomal ribonucleic acid (rRNA) sequence analysis. Abscess formation was not observed, and the patient was treated with a short course of antibiotics. Ultimately, his condition resolved, without recurrence during the 1-year follow-up. Clinicians should be aware that if the isolated organism is originally identified as , however is phenotypically mismatched with colony nonpigmentation and beta-hemolysis; the organism may be . Mortality, abscess formation, and recurrence rates are lower than those of , and chronic broad-spectrum antibiotic suppression may not be required, potentially avoiding unnecessary antibiotic use and preventing multidrug resistance.
自2008年被发现以来,由与[具体菌种1]系统发育相关但又不同的[具体菌种2]引起的感染发病率有所上升。它们独特的微生物学特征差异已得到强调,特别是在菌落色素沉着和溶血方面的表型差异。这主要是因为在使用当前的自动化微生物鉴定系统时,[具体菌种2]被误鉴定为[具体菌种1]。然而,由于很少有临床相关病例被报道且被认为与[具体菌种1]感染相似,[具体菌种2]感染的临床情况和结果仍不清楚。因此,我们报告了一例极其罕见的[具体菌种2]菌血症病例,该病例最初被诊断为[具体菌种1]感染,但后来通过16S核糖体核糖核酸(rRNA)序列分析证实为[具体菌种2]感染。未观察到脓肿形成,患者接受了短期抗生素治疗。最终,他的病情得到缓解,在1年的随访期间未复发。临床医生应意识到,如果分离出的生物体最初被鉴定为[具体菌种1],但其表型与菌落无色素沉着和β溶血不匹配;该生物体可能是[具体菌种2]。其死亡率、脓肿形成率和复发率低于[具体菌种1],可能不需要长期使用广谱抗生素抑制,从而避免不必要的抗生素使用并防止多药耐药性。