Edmond M B, Riddler S A, Baxter C M, Wicklund B M, Pasculle A W
Division of Infectious Diseases, University of Pittsburgh School of Medicine, Presbyterian University Hospital, Pennsylvania.
Clin Infect Dis. 1993 Mar;16(3):388-91. doi: 10.1093/clind/16.3.388.
Over the past decade, an increasing number of infections due to Agrobacterium radiobacter have been reported. Observation of three cases of bacteremia due to this organism prompted a review of the English-language literature. Nineteen cases of significant disease have previously been reported. In more than one-half of the cases, bacteremia was the primary manifestation, often associated with the presence of an intravascular catheter. Other clinical syndromes (peritonitis, urinary tract infection, and endocarditis) have been described. Infection is strongly related to the presence of plastic foreign material, and effective treatment often requires removal of the device. Because antimicrobial sensitivity is variable, treatment must be based on sensitivity data for the individual isolate.
在过去十年中，报告了越来越多由放射土壤杆菌引起的感染。对三例由该菌引起的菌血症病例的观察促使对英文文献进行了回顾。此前已报告了19例严重疾病病例。在一半以上的病例中，菌血症是主要表现，通常与血管内导管的存在有关。还描述了其他临床综合征（腹膜炎、尿路感染和心内膜炎）。感染与塑料异物的存在密切相关，有效的治疗通常需要移除装置。由于抗菌敏感性存在差异，治疗必须基于单个分离株的敏感性数据。
