Cox N H, Knowles M A, Porteus I D
Department of Dermatology, Cumberland Infirmary, Carlisle, UK.
Clin Exp Dermatol. 1994 Jul;19(4):321-3. doi: 10.1111/j.1365-2230.1994.tb01204.x.
We describe a patient with an acute ulcerated pre-septal cellulitis with subsequent spread across the face, in whom conjunctival swabs demonstrated the presence of Moraxella species. Unusually, this organism was resistant to penicillin. Clinical improvement was only achieved when treatment with co-amoxiclav was commenced on the basis of the antibiotic sensitivities demonstrated by culture of this organism. Moraxella species are rare skin pathogens but may be underestimated as they usually respond to a wide range of antibiotics; they should be considered as a cause of facial cellulitis or erysipelas which responds poorly to conventional therapy.
我们描述了一名患有急性溃疡性眶隔前蜂窝织炎且随后炎症蔓延至面部的患者，其结膜拭子检测出莫拉菌属。不同寻常的是，该菌对青霉素耐药。只有在根据该菌培养显示的抗生素敏感性开始使用阿莫西林克拉维酸治疗后，临床症状才得以改善。莫拉菌属是罕见的皮肤病原体，但可能被低估了，因为它们通常对多种抗生素有反应；对于对传统治疗反应不佳的面部蜂窝织炎或丹毒，应考虑由莫拉菌属引起。
