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雪瓦内拉菌,气候变化的新兴敌人:一个案例报告

Francesca Di Bartolomeo¹, Riccardo Ligresti², Sofia Pettenuzzo²

¹Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Milan, Italy. francesca.dibartolomeo@unimi.it.

Journal of medical case reports

|April 13, 2025

概括

机会性病原体Shewanella putrefaciens在一个接触沿海水域的患者中引起了持续的软组织感染. 成功治疗需要西普洛素,强调需要对新出现的细菌威胁保持警.

科学领域:

医学微生物学医学微生物学
环境健康环境健康
传染性疾病传染性疾病

背景情况:

舍瓦尼拉 (Shewanella putrefaciens) 是一种在水生环境中普遍存在的,具有Gram阴性,有能力的无氧细菌.
虽然它通常是非致病性的,但它可以在脆弱的个体中引起机会性感染.
由于气候变化而导致海水温度上升可能会增加这种细菌的流行率.

研究的目的:

报告一种由Shewanella putrefaciens引起的软组织感染病例.
讨论环境因素和抗生素耐药性在机会性感染中的影响.
强调需要提高临床和环境健康意识的必要性.

主要方法:

一个74岁的女性在腿部受伤和在沿海水域游泳后患有软组织感染的案例报告.
最初使用阿莫西西林/克拉夫兰酸和伤口除菌的抗生素治疗是无效的.
微生物学分析发现了Shewanella putrefaciens和Bacteroides fragilis;治疗被切换为西普罗素.

主要成果:

尽管初始治疗,软组织感染仍然存在.
已经确定了Shewanella putrefaciens和Bacteroides fragilis作为病原体.
齐普罗夫洛克萨成功地解决了感染,尽管患者患上了慢性脚胀.

结论:

谢瓦尼拉 (Shewanella putrefaciens) 显示出新兴的致病潜力.
环境抗生素耐药性和气候变化导致感染风险增加.
对临床和环境健康的警对于管理机会性感染至关重要.

关键词:

谢瓦内拉 (Shewanella) 是一个腐烂的生物.案例报告案例报告化类类类.软和皮肤组织感染 (SSTI)

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