Kornowski R, Schwartz D, Averbuch M, Levo Y, Berger S, Giladi M
Dept. of Medicine T, Ichilov Hospital, Tel Aviv Sourasky Medical Center, Israel.
Infection. 1993 Jul-Aug;21(4):241-4. doi: 10.1007/BF01728898.
Anaerobic bacteremia was studied in 32 medical patients (mean age 72 years) in a four-year retrospective analysis. Malignancy was the most common underlying disease and probable portal of entry. The gastrointestinal tract was affected most often, followed by the respiratory and urinary tracts. Bacteremia occurred either following invasive (non surgical) procedures or spontaneously. The clinical course ranged from asymptomatic bacteremia, to mild febrile illness, to sepsis and septic shock (two, 12, 16 and two patients, respectively). The case fatality rate was 25%. The causative organisms were Clostridium and Bacteroides species. All organisms isolated were susceptible to chloramphenicol. Early diagnosis and prompt treatment may reduce mortality in cases of anaerobic sepsis.
在一项为期四年的回顾性分析中，对32例内科患者（平均年龄72岁）的厌氧菌血症进行了研究。恶性肿瘤是最常见的基础疾病和可能的感染入口。胃肠道受影响最常见，其次是呼吸道和泌尿道。菌血症发生于侵入性（非手术）操作后或自发发生。临床过程从无症状菌血症到轻度发热性疾病，再到败血症和感染性休克（分别为2例、12例、16例和2例患者）。病死率为25%。致病菌为梭菌属和拟杆菌属。所有分离出的菌株对氯霉素敏感。早期诊断和及时治疗可能降低厌氧菌败血症病例的死亡率。
