PDF(Pubmed)
Abstract：
BACKGROUND: This case report presents a unique instance of abscesses with an uncommon pathogen isolated from blood cultures.
METHODS: We present the case of a perianal abscess in a 50-year-old man with a history of cocaine abuse and bilateral hip replacements. The rapid progression led to septic shock and multi-organ failure, requiring intensive care unit admission, surgery including protective transversostomy. Blood cultures showed growth of Butyricimonas spp. with resistance to penicillin and piperacillin-tazobactam. The immediate switch to meropenem led to a significant improvement in the patient\'s condition. The patient was discharged after 40 days of hospitalization in good general condition and the reversal of the transversostomy was performed six months later.
CONCLUSIONS: The identification of Butyricimonas faecihominis, a rarely reported pathogen, emphasizes the challenges of diagnosing and treating unusual infections. This case emphasizes the importance of rapid microbiological diagnosis, interdisciplinary collaboration, and targeted antibiotic therapy in the treatment of abscesses and sepsis.
METHODS: We present the case of a perianal abscess in a 50-year-old man with a history of cocaine abuse and bilateral hip replacements. The rapid progression led to septic shock and multi-organ failure, requiring intensive care unit admission, surgery including protective transversostomy. Blood cultures showed growth of Butyricimonas spp. with resistance to penicillin and piperacillin-tazobactam. The immediate switch to meropenem led to a significant improvement in the patient\'s condition. The patient was discharged after 40 days of hospitalization in good general condition and the reversal of the transversostomy was performed six months later.
CONCLUSIONS: The identification of Butyricimonas faecihominis, a rarely reported pathogen, emphasizes the challenges of diagnosing and treating unusual infections. This case emphasizes the importance of rapid microbiological diagnosis, interdisciplinary collaboration, and targeted antibiotic therapy in the treatment of abscesses and sepsis.
摘要：
背景：本病例报告提供了一个从血液培养物中分离的罕见病原体脓肿的独特实例。
方法：我们介绍了一个50岁男性肛周脓肿的病例，该男性有滥用可卡因和双侧髋关节置换史。快速进展导致脓毒性休克和多器官衰竭，需要入住重症监护室，手术包括保护性横穿造口术。血液培养物显示出丁酸单胞菌属的生长。对青霉素和哌拉西林他唑巴坦有耐药性。立即转换为美罗培南导致患者的病情显着改善。患者在良好的一般情况下住院40天后出院，六个月后进行了经血管造口术的逆转。
结论：对白衣藻的鉴定，一种很少报道的病原体，强调诊断和治疗异常感染的挑战。这个案例强调了快速微生物诊断的重要性,跨学科合作,和靶向抗生素治疗脓肿和败血症。
方法：我们介绍了一个50岁男性肛周脓肿的病例，该男性有滥用可卡因和双侧髋关节置换史。快速进展导致脓毒性休克和多器官衰竭，需要入住重症监护室，手术包括保护性横穿造口术。血液培养物显示出丁酸单胞菌属的生长。对青霉素和哌拉西林他唑巴坦有耐药性。立即转换为美罗培南导致患者的病情显着改善。患者在良好的一般情况下住院40天后出院，六个月后进行了经血管造口术的逆转。
结论：对白衣藻的鉴定，一种很少报道的病原体，强调诊断和治疗异常感染的挑战。这个案例强调了快速微生物诊断的重要性,跨学科合作,和靶向抗生素治疗脓肿和败血症。
