Granulicatella adiacens에 의한 패혈증 1예
A Case of Septicemia by Granulicatella adiacens
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초록
Granulicatella adiacens는 과거에 nutritionally variant streptococci로 분류되었던 균종으로 Streptococcus adjacens, Abiotrophia adiacens로 명명되기도 했다. Granulicatella는 구강 및 상기도, 요생식기, 위장관 등의 상재균으로 임상에서는 주로 심내막염에서 발견된다. G. adiacens에 의한 심내막염은 사망률이 높은데 잘 배양되지 않아 주의를 요한다. 저자들은 선행질환으로 간경변증과 만성신부전이 있는 52세 여자 환자의 혈액배양에서 G. adiacens를 분리하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Granulicatella adiacens was first described as nutritionally variant streptococci, and named as Streptococcus adjacens and Abiotrophia adiacens. Granulicatella species are flora of oral cavity, upper respiratory, urogenital, and gastrointestinal tracts, and are normal often isolated from patients with infective endocarditis. G. adiacens endocarditis is associated with high mortality, but the species hardly grow in the ordinary growth media. We report a case of septicemia caused by G. adiacens in a 52-year-old woman with liver cirrhosis and chronic renal failure.
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