Herbert D A, Ruskin J
Am J Clin Pathol. 1981 May;75(5):739-43. doi: 10.1093/ajcp/75.5.739.
Neisseriae other than N. meningitidis and N. gonorrhoeae are common upper respiratory commensals, but rarely cause disease. A case of N. sicca bacteremia in an immunocompromised patient is reported, and the literature dealing with infections attributed to these usually nonpathogenic organisms is reviewed. These neisseriae have been shown to cause meningitis, endocarditis, sepsis, and some cases of pneumonia, otitis media, and sinusitis; however, their pathogenicity is doubtful in many of the reported cases of urethritis, cervicitis, and upper respiratory infection. They are not uniformly sensitive to the penicillins, so therapy should be guided by the results of antimicrobial susceptibility testing.
除脑膜炎奈瑟菌和淋病奈瑟菌外的其他奈瑟菌是常见的上呼吸道共生菌,但很少引起疾病。本文报告了1例免疫功能低下患者发生干燥奈瑟菌血症的病例,并对有关这些通常无致病性的微生物所致感染的文献进行了综述。这些奈瑟菌已被证实可引起脑膜炎、心内膜炎、败血症以及一些肺炎、中耳炎和鼻窦炎病例;然而,在许多报告的尿道炎、宫颈炎和上呼吸道感染病例中,它们的致病性存疑。它们对青霉素并非均一敏感,因此治疗应根据抗菌药物敏感性试验结果来指导。