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Staphylococcus lugdunensis에 의한 패혈증 1례

A Case of Septicemia by Staphylococcus lugdunensis

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초록

Staphylococcus lugdunensis는 coagulase 음성 포도구균의 일종이지만 드물게 감염양상이 Staphylococcus aureus와 비슷하게 감염이 심하고 진행이 빨라 치명적인 경우도 있다. 또 S. lugdunensis는 clumping factor에 대한 응집검사에서 양성으로 나타날 수 있을 뿐만 아니라 집락도 S. aureus와 비슷하지만 대체로 모든 항균제에 감수성이므로 S. aureus와 혼동하지 않도록 주의해야 한다. 저자들은 설사와 말초신경병증이 있는 71세 남자 환자의 혈액배양에서 S. lugdunensis를 분리하였기에 문헌고찰과 함께 보고하는 바이다.

Abstract

Staphylococcus lugdunensis is one of coagulase-negative staphylococci, but rarely causes aggressive and progressive infections similar to Staphylococcus aureus infection. Moreover, agglutination test for clumping factor can be positive, and the colony morphology often resembles that of S. aureus, but S. lugdunensis is usually sensitive to all antimicrobials used against staphylococci. We report a case of septicemia caused by S. lugdunensis in a 71-year-old man with diarrhea, diabetes mellitus, and peripheral neuropathy.

참고문헌 (12)

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  5. "Two cases of S. lugdunensis isolated from blood and venous catheter", 7, pp.90~93 (2004)
  6. "Performance standards for antimicrobial susceptibility testing; sixtenth informational supplement" (2006), Wayne, PA; CLSI
  7. "Staphylococcus lugdunensis infections: high frequency of inguinal area carriage", 41, pp.1404~1409 (2003)
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  9. "Staphylococcus lugdunensis carrying the mecA gene causes catheter-associated bloodstream infection in premature neonate", 41, pp.519~520 (2003)
  10. "Genotypic versus phenotypic characterization, with respect to susceptibility and identification, of 17 clinical isolates of Staphylococcus lugdunensis", 56, pp.287~291 (2005)
  11. "Five-test simple scheme for species-level identification of clinically significant coagulase-negative staphylococci", 41, pp.1219~1224 (2003)
  12. "Staphylococcus lugdunensis: report of a case of peritonitis and an easy- to-perform screening strategy", 36, pp.812~813 (1998)

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