Brook I, Frazier Edith H
J Med Microbiol. 1999 Jan;48(1):103-105. doi: 10.1099/00222615-48-1-103.
A retrospective review of the microbiological and clinical data of 17 specimens obtained from axillary hidradenitis suppurativa (HS) over a period of 6 years was undertaken to study the aerobic and anaerobic microbiology of this condition. A total of 42 bacterial isolates (2.5 per specimen) were obtained, 12 aerobic or facultative (0.7 per specimen) and 30 anaerobic or micro-aerophilic (1.8 per specimen). Aerobic and facultative bacteria only were isolated in six (35%) cases, anaerobic bacteria only in seven (41%) and mixed aerobic and anaerobic bacteria in four (24%). The predominant aerobic bacteria were Staphylococcus aureus (six isolates), Streptococcus pyogenes (three) and Pseudomonas aeruginosa (two). The most frequently isolated anaerobes were Peptostreptococcus spp. (10), Prevotella spp. (seven), micro-aerophilic streptococci (four), Fusobacterium spp. (three) and Bacteroides spp. sensu stricto (three). This study highlights the polymicrobial nature and predominance of anaerobic bacteria in axillary HS and the need for antimicrobial thereby to reflect this.
对6年间从化脓性汗腺炎（HS）患者腋下获取的17份标本的微生物学和临床数据进行回顾性研究，以探讨该病的需氧菌和厌氧菌微生物学情况。共获得42株细菌分离株（每份标本2.5株），其中12株为需氧菌或兼性厌氧菌（每份标本0.7株），30株为厌氧菌或微需氧菌（每份标本1.8株）。仅分离出需氧菌和兼性厌氧菌的有6例（35%），仅分离出厌氧菌的有7例（41%），需氧菌和厌氧菌混合感染的有4例（24%）。主要的需氧菌为金黄色葡萄球菌（6株分离株）、化脓性链球菌（3株）和铜绿假单胞菌（2株）。最常分离出的厌氧菌为消化链球菌属（10株）、普雷沃菌属（7株）、微需氧链球菌（4株）、梭杆菌属（3株）和狭义拟杆菌属（3株）。本研究强调了腋下HS的微生物多样性及厌氧菌的优势地位，以及抗菌治疗需要反映这一情况。
