症例報告:Corynebacterium striatumに起因する多発性骨髄炎の患者の2次頸部群感染
Xiang Chen1, Jian-Hui Zhang2, Jing-Yi Chen2
1The First Clinical Medical College, Nanchang University, Nanchang, China.
Medicine
|September 3, 2025
まとめ
コリーネバクテリア・ストライアタムは 機会性病原体で 2次性骨髄炎と首のを引き起こしました 効果的な治療はラインゾリドとフォスフォミシンで 細菌の病原性を強調しました
科学分野:
- 感染症
- 臨床微生物学
- 細菌学
背景:
- コリーネバクテリア・ストライアタムは 臨床感染にますます関与している 機会性病原体です
- 身体の様々な部位でC. striatumによって引き起こされる二次感染は,まれに報告されています.
- このケースは,広範囲にわたる二次感染を引き起こす C. ストライタムの珍しい例を強調しています.
研究 の 目的:
- 二次性コロニバクテリア感染の 珍しい症例を報告する
- C. ストライタム骨髄炎との臨床表現,診断,治療について説明する.
- C. ストライタムが 感染した宿主に重度の感染を引き起こす可能性を強調する.
主な方法:
- 52歳の男性患者では,外側側帯炎が発症し,骨髄炎と軟組織が発症した.
- 2次感染はC.ストライアタムによる.
- 微生物培養は 肘と首の両方の傷口の でC. ストライタムを確認した
- 治療にはラインゾリドとフォスフォミシンを併用した.
主要な成果:
- Corynebacterium striatumは,主感染部位 (右肘部位) と二次感染部位 (首部位) の両方で病原体として特定されました.
- リネゾリドとフォスフォミシンによる抗菌療法により,感染した病変は4週間以内に解消されました.
- 磁気共鳴画像は治療の成功を確認した.
結論:
- このケースは,二次感染でも,Corynebacterium striatumの重大な病原性を強調しています.
- 首の腫れなど,外傷や慢性的な潰瘍の領域は,C. ストライタム超感染の潜在的な場所として機能することができます.
- 迅速かつ適切な抗菌薬療法は,重度のC. ストライタム感染症の管理に不可欠です.
関連する概念動画
Bacterial Phylum Actinobacteria
111
Coryneform bacteria are gram-positive, aerobic, nonmotile rods that exhibit irregular, club-shaped, or V-shaped arrangements. Their V-shape results from snapping division, where the inner cell wall layer forms the cross-wall, while the outer layer remains intact until it ruptures on one side, causing the daughter cells to bend away.The primary genera are Corynebacterium and Arthrobacter. Corynebacterium includes diverse species, ranging from saprophytes to pathogens like Corynebacterium...
111
Bacterial Phylum Spirochaetes
111
Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased...
111
Tonsillitis II: Management
174
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
174
Acute Pyelonephritis II: Diagnostic Studies and Management
39
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
39
Skin Diseases and Disorders
4.1K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
4.1K
Tonsillitis I: Introduction
538
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
538


