Hurr H, Sorg T
Department of Infectious Disease, Wright State University, Dayton, Ohio, USA.
J Infect. 1998 Sep;37(2):191-2. doi: 10.1016/s0163-4453(98)80178-3.
Mycobacterium szulgai is a rare cause of human infections, and when present it is mostly known to cause lung infection. We report the first case of isolated Mycobacterium szulgai osteomyelitis in a 68-year-old woman on chronic immunosuppressive therapy. Review of the literature revealed a total of three other cases of M. szulgai osteomyelitis. In all these cases there was evidence of hematogenous or contiguous spread, including one with extensive dissemination. Pulmonary M. szulgai infections tend to occur in patients with chronic lung disease and/or concomitant lung infections, whereas osteomyelitis tends to occur in patients who have severe immunosuppression secondary to disease or drugs.
苏尔加分枝杆菌是人类感染的罕见病因，一旦出现，大多已知会引发肺部感染。我们报告了首例在接受慢性免疫抑制治疗的68岁女性中发生的孤立性苏尔加分枝杆菌骨髓炎病例。文献回顾显示，另有3例苏尔加分枝杆菌骨髓炎病例。在所有这些病例中，均有血行性或连续性播散的证据，其中1例播散广泛。肺部苏尔加分枝杆菌感染往往发生于患有慢性肺病和/或合并肺部感染的患者，而骨髓炎则往往发生于因疾病或药物导致严重免疫抑制的患者。
