PDF(Pubmed)
Abstract：
Aliarcobacter butzleri (formerly Arcobacter butzleri), is a newly recognized Campylobacter-like emerging foodborne pathogen worldwide, usually causing gastrointestinal symptoms in young children. A 4-year-old boy was admitted to the Department of Pediatrics, University Hospital of Split, Croatia, because of malnutrition, lost appetite and prolonged watery diarrhea. A comprehensive diagnostics, including biochemistry, haematology, allergology, microbiology and radiology, were performed. The only positive microbiology result was unexpected isolation of Aliarcobacter butzleri on selective media for Campylobacter, after 48 hours of incubation on 42°C, among microaerophilic atmosphere. Clinical course was favorable and after symptomatic therapy child was discharged in good clinical condition and normal peristalsis to home care, with the recommendation of taking high-protein preparations to improve nutritional status. In addition, we performed a literature review of clinical cases caused by Aliarcobacter butzleri infection. The first report of Aliarcobacter butzleri isolated from stool sample in a 4-year old boy in Croatia, along with other clinical reports in literature, highlights the importance of standardisation and improvement of microbiological analysis, especially implementation of new methods for the identification of emerging pathogens.
摘要：
异形杆菌(原为异形杆菌),是全球新发现的弯曲杆菌样新兴食源性病原体，通常在幼儿中引起胃肠道症状。一名4岁男童入住儿科,斯普利特大学医院,克罗地亚,因为营养不良，食欲不振和长期水样腹泻。全面的诊断，包括生物化学,血液学,变态反应学,微生物学和放射学，被执行了。唯一的阳性微生物学结果是在弯曲杆菌的选择性培养基上意外分离出了丁氏异形杆菌，在42°C下孵育48小时后，在微需氧气氛中。临床病程良好，经对症治疗后患儿出院，临床状况良好，蠕动正常，接受家庭护理，建议服用高蛋白制剂以改善营养状况。此外,我们对由丁氏异形杆菌感染引起的临床病例进行了文献综述.从克罗地亚一名4岁男孩的粪便样本中分离出的巴兹莱里杆菌的第一份报告，以及文献中的其他临床报告，强调了微生物分析标准化和改进的重要性，特别是实施新的病原体鉴定方法。
