Buchman A L, Pickett M J, Mann L, Ament M E
Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA 30322.
Diagn Microbiol Infect Dis. 1993 Aug-Sep;17(2):163-6. doi: 10.1016/0732-8893(93)90028-6.
We report the first case of a central venous catheter infection caused by Moraxella osloensis, which was successfully treated without catheter removal. The isolation, identification, and pathogenesis of this species are discussed. It is recommended that Moraxella isolates be identified to species in order to determine the relative pathogenic and opportunistic roles of the various Moraxella species. Our case also demonstrates that catheter sepsis caused by some Gram-negative organisms may be amenable to systemic antibiotic therapy without the necessity of catheter removal.
我们报告了首例由奥斯陆莫拉菌引起的中心静脉导管感染病例,该病例在未拔除导管的情况下成功治愈。本文讨论了该菌种的分离、鉴定及发病机制。建议对莫拉菌分离株进行种属鉴定,以确定不同莫拉菌种的相对致病作用和机会性感染作用。我们的病例还表明,某些革兰氏阴性菌引起的导管败血症可能无需拔除导管,通过全身抗生素治疗即可治愈。