Luque A E, Kaminski D, Reichman R, Hardy D
Department of Medicine, University of Rochester School of Medicine and Dentistry, New York, USA.
Scand J Infect Dis. 1998;30(1):88-91. doi: 10.1080/003655498750002376.
Mycobacterium szulgai is a scotochromogen mycobacterium that accounts for < 1% of all human isolates of non-tuberculous mycobacteria. We report the first case of osteomyelitis caused by Mycobacterium szulgai in an AIDS patient. Culture from tissue was needed for isolation and identification of the organism, which was initially misidentified as Mycobacterium gordonae. Susceptibility testing to a fluoroquinolone was carried out and is also reported here for the first time. This case demonstrates the pathogenic potential of M. szulgai in this setting, and illustrates the need to obtain tissue specimens for culture in infected immunosuppressed patients to make a specific microbiological diagnosis and institute appropriate therapy.
苏尔加分枝杆菌是一种暗产色分枝杆菌，在所有人类非结核分枝杆菌分离株中占比不到1%。我们报告了首例由苏尔加分枝杆菌引起的艾滋病患者骨髓炎病例。需要对组织进行培养以分离和鉴定该病原体，其最初被误鉴定为戈登分枝杆菌。我们还首次进行了对氟喹诺酮类药物的药敏试验并在此报告。该病例证明了苏尔加分枝杆菌在这种情况下的致病潜力，并说明了在感染的免疫抑制患者中获取组织标本进行培养以做出特定微生物学诊断并制定适当治疗方案的必要性。
