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題 名 | Polymicrobial Bacteremia Caused by Escherichia Coli, Edwardsiella Tarda, and Shewanella Putrefaciens=大腸桿菌、遲鈍艾德氏菌和Shewanella Putrefaciens混合:一菌血症病例報告 |
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作 者 | 王怡寬; 李明勳; 陳右明; 黃秋錦; | 書刊名 | 長庚醫學 |
卷 期 | 27:9 民93.09 |
頁 次 | 頁701-705 |
分類號 | 415.27 |
關鍵詞 | 遲鈍艾德氏菌; 菌血症; Bacteremia; Edwardsiella tarda; Shewanella putrefaciens; |
語 文 | 英文(English) |
中文摘要 | 遲鈍艾德氏菌是一種可從淡水和海水以及許多水生動物分離出來的細菌。其歸屬於腸細菌科。此細菌主要和骨腸道疾病有關,而且可從有無臨床感染症狀人的糞便所分離出來。Shweanella putrefaciens是一種腐生性的格蘭氏陰性桿菌,而且很少導致人類疾病。病患本身的慢性疾病和暴露於水生的環境是造成遲鈍艾德氏菌和S. putrefaciens感染的主要危險因子。一位61歲的女性吃鯊魚8小時後而有上腹疼痛、發燒、畏寒、輕微腹瀉的症狀。血液培養產生大腸桿菌、遲鈍艾德氏菌和S. putrefaciens。此病患成功地接受抗生素治療。我們報告臺灣第一個大腸桿菌、遲鈍艾德菌和S. putrefaciens等菌血症發生在沒有潛在疾病患者的罕見病例。此少見的腹瀉病貌併發發燒和多種菌血症,提醒醫界必須注意這些罕見的病原菌。 |
英文摘要 | Edwardsiella tarda, a member of Enterobacteriaceae, is found in freshwater and marine environments and in animals living in these environments. This bacterium is primarily associated with gastrointestinal diseases, and has been isolated from stool specimens obtained from persons with or without clinical infectious diseases. Shewanella putrefaciens, a saprophytic gram-negative rod, is rarely responsible for clinical syndromes in humans. Debilitated status and exposure to aquatic environments are the major predisposing factors for E. tarda or S. putrefaciens infection. A 61-year-old woman was febrile with diarrhea 8 hours after ingesting shark meat, and two sets of blood cultures grew Escherichia coli, E. tarda and S. putrefaciens at the same time. She was successfully treated with antibiotics. We present this rare case of polymicrobial bacteremia caused by E. coli, E. tarda and S. putrefaciens without underlying disease, which is the first found in Taiwan. This rare case of febrile diarrhea with consequent polymicrobial bacteremia emphasizes that attention should always be extended to these unusual pathogens. |
本系統中英文摘要資訊取自各篇刊載內容。