PDF(Pubmed)
Abstract：
Edwardsiella tarda is typically isolated from aquatic environments. It rarely causes infections in humans. Edwardsiella tarda infections in humans result from the consumption of infected or contaminated food. Here, we present a case of recurrent cholangitis and bacteraemia associated with E. tarda. An 82-year-old man with no history of seafood inoculation was admitted to our hospital because of difficulty in moving his body. The patient was diagnosed with cholangitis, and the blood culture revealed the presence of E. tarda. The patient underwent bile duct stenting and received antibiotic therapy for 14 days. Forty-four days after discharge, cholangitis recurred, and blood culture again showed the presence of E. tarda. The patient underwent bile duct stenting and antibiotic therapy for 11 days. No cholangitis or bacteraemia associated with E. tarda was observed in the following 3 years. Our case strongly suggests that colonization with E. tarda results in recurrent cholangitis and bacteraemia.
摘要：
塔达爱德华氏菌通常从水生环境中分离出来。它很少引起人类感染。人类的爱德华氏杆菌感染是由于食用受感染或受污染的食物而引起的。这里,我们介绍一例与E.tarda相关的复发性胆管炎和菌血症。一名82岁无海鲜接种史的男子因身体移动困难而入院。病人被诊断为胆管炎,血培养显示存在E.tarda.患者接受了胆管支架置入术，并接受了14天的抗生素治疗。出院后四十四天,胆管炎复发，血培养再次显示存在E.tarda。患者接受胆管支架和抗生素治疗11天。在接下来的3年中，未观察到与E.tarda相关的胆管炎或菌血症。我们的病例强烈表明，用E.tarda定植会导致复发性胆管炎和菌血症。
