腰椎感染少见嗜沫凝聚杆菌——案例分析并文献复习

Rare lumbar spine infection caused by Aggregatibacter aphrophilus: case analysis and literature review

摘要:

嗜沫凝聚杆菌是口咽部的正常菌群, 其在临床中引起腰椎感染较为少见, 嗜沫凝聚杆菌作为苛养菌, 营养要求高, 细菌培养及鉴定较困难, 易漏检。某院收治1例腰椎感染患者血培养检出此菌, 据检测结果调整抗菌药物治疗后, 患者抗感染治疗有效。该文以腰椎感染少见嗜沫凝聚杆菌病例进行病例报告并文献复习。

Abstract:

Aggregatibacter aphrophilus (A. aphrophilus) is a normal bacterial flora in the oropharynx, and rarely causes lumbar spine infection in clinical practice. As fastidious bacteria, A. aphrophilus has high nutritional requirements, thus is difficult to be cultured and identified, and prone to be missed in detection. A. aphrophilus was detected from the blood culture of a patient with lumbar spine infection in a hospital. The anti-infection treatment based on detection results for the patient was effective after adjusting antimicrobials. This paper reports a rare case of A. aphrophilus lumbar spine infection with literature reviews.