PDF(Pubmed)
Abstract：
Lactococcus (L.) garvieae is a gram-positive coccus that has been found in various aquatic and terrestrial animals, as well as in dairy products, and is considered a potential zoonotic bacterium. The pathogen has been recognized as an emerging opportunistic human pathogen, often associated with the ingestion of raw seafood. The most common presentation of L. garvieae infection in humans is infective endocarditis, but it has also been found to have associations with other clinical manifestations. The following is a case report of a 6-year-old male with infected bilateral leg abrasions that occurred after playing in a local creek near his home in northern Alabama, which had livestock including goats, cows, and horses. Wound culture indicated that the bacteria was L. garvieae, which was found to be sensitive to ceftriaxone, levofloxacin, linezolid, tetracycline, tigecycline, and vancomycin and resistant to clindamycin. The patient was treated with oral cephalexin and topical gentamicin for ten days, after which there appeared to be an overall improvement in wound healing.
摘要：
乳球菌(L.)garvieae是一种革兰氏阳性球菌，已在各种水生和陆生动物中发现，以及乳制品，被认为是一种潜在的人畜共患细菌。该病原体已被认为是一种新兴的机会性人类病原体，通常与摄入生海鲜有关。在人类中最常见的表现是感染性心内膜炎。但也发现它与其他临床表现有关。以下是一名6岁男性在阿拉巴马州北部家中附近的一条当地小溪玩耍后，双侧腿部擦伤被感染的病例报告，有牲畜，包括山羊，奶牛,和马。伤口培养表明细菌是L.garvieae，被发现对头孢曲松敏感，左氧氟沙星,利奈唑胺,四环素,替加环素,万古霉素和克林霉素耐药。患者口服头孢氨苄和外用庆大霉素治疗十天,之后，伤口愈合似乎总体上有所改善。
