圣水不那么神圣:在免疫功能低下的宿主中,伊丽莎白金氏肺炎和菌血症的潜在来源

IF 1.1 Q4 INFECTIOUS DISEASES
IDCases Pub Date : 2025-01-01 DOI:10.1016/j.idcr.2025.e02230
Rahel T. Zewude , Matheus O. Bastos , May AlFalahi , Coleman M.F. Rotstein , Carson K.L. Lo
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引用次数: 0

摘要

Elizabethkingia种是革兰氏阴性的,主要存在于土壤和水中的葡萄糖非发酵杆菌,随着Elizabethkingia anophelis越来越被认为是一种人类病原体。在医院暴发中也报告了按蚊,这表明受污染的机构水源可能起作用。传统的微生物学方法经常导致将这种病原体误认为是伊丽莎白属的其他成员,这表明分子方法在鉴定中的作用。我们报告了一位67岁的女性,她因伯基特淋巴瘤接受化疗时出现多器官衰竭,需要重症监护病房住院和机械通气。她患肺炎,从气管内吸入培养物中分离出革兰氏阴性杆菌,后来鉴定为按蚊伊杆菌。她后来因同一病原体发生菌血症,经MALDI-TOF和全基因组测序证实。经圣水传播被认为是潜在的传染源。我们的病例报告强调,按蚊可能引起严重感染,不应忽视污染物,特别是在免疫抑制的个体。作为一种可能带入医院环境的水传播病原体,应强调对家庭成员的教育,密切的护理监测,并报告可疑的、无监督的医疗设备操作,以防止这种微生物从外部来源污染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Holy water not so holy: Potential source of Elizabethkingia pneumonia and bacteremia in an immunocompromised host
Elizabethkingia species are Gram-negative, glucose-non-fermenting bacilli predominantly found in soil and water, with Elizabethkingia anophelis increasingly recognized as a human pathogen. E. anophelis has also been reported in hospital outbreaks, suggesting the potential role of contaminated institutional water sources. Conventional microbiological methods often lead to misidentifying this pathogen for other members of the genus Elizabethkingia, suggesting a role for molecular methods for identification.
We report a 67-year-old female who developed multiorgan failure requiring intensive care unit admission and mechanical ventilation while being treated with chemotherapy for Burkitt lymphoma. She developed pneumonia with Gram-negative bacilli isolated from her endotracheal aspirate culture, later identified as E. anophelis. She later developed bacteremia due to the same pathogen, which was confirmed by MALDI-TOF and whole genome sequencing. Waterborne transmission via holy water administration was postulated to be potential source of infection.
Our case report highlights that E. anophelis may cause significant infection and should not be disregarded as contaminant, especially in immunosuppressed individuals. As a waterborne pathogen that may be brought into hospital environments, emphasis on educating family members, close nursing monitoring, and reporting of suspected, unsupervised manipulation of medical equipment should be undertaken to prevent contamination by this organism from outside sources.
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来源期刊
IDCases
IDCases INFECTIOUS DISEASES-
CiteScore
2.60
自引率
6.70%
发文量
300
审稿时长
10 weeks
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