Rao K R, Shah J, Rajashekaraiah K R, Patel A R, Miskew D B, Fennewald P S
South Med J. 1981 Mar;74(3):288-92. doi: 10.1097/00007611-198103000-00009.
Edwardsiella tarda is a recently identified gram-negative organism of the family Enterobacteriaceae. Reports of human infections with E tarda have been infrequent. We review 14 cases of systemic edwardsiellosis reported in the literature and report a case of E tarda osteomyelitis in a patient with sickle cell-hemoglobin C disease. In our case the remains of a snake may have been the source of the organism. Systemic edwardsiellosis is rare, and it may present as meningitis, endocarditis, bacteremia, liver abscess, or osteomyelitis. In 12 of 15 cases reported, systemic E tarda infection occurred in patients suffering from additional debilitating illnesses.
迟缓爱德华氏菌是最近确认的肠杆菌科革兰氏阴性菌。关于人类感染迟缓爱德华氏菌的报道并不常见。我们回顾了文献中报道的14例全身性爱德华氏菌病病例，并报告了1例镰状细胞-血红蛋白C病患者发生的迟缓爱德华氏菌骨髓炎病例。在我们的病例中，一条蛇的残骸可能是该病菌的来源。全身性爱德华氏菌病很罕见，可能表现为脑膜炎、心内膜炎、菌血症、肝脓肿或骨髓炎。在已报道的15例病例中的12例中，全身性迟缓爱德华氏菌感染发生在患有其他衰弱性疾病的患者身上。
