당뇨환자의 창상에서 분리된 반코마이신 내성 Enterococcus avium
Vancomycin-resistant Enterococcus avium Isolated from the Wound of a Patient with Diabetes Mellitus
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초록
Enterococcus avium (E. avium)은 조류에서 가장 많이 발견되며, 사람에서 병원균으로 보고된 예는 드물다. E. avium에 의한 감염에 대한 연구가 일부 보고가 되었지만, 임상 양상 및 항생제 감수성에 대해서는 알려진 바가 적다. 저자들은 당뇨환자의 창상조직에서 vanA를 생성하는 vancomycin 내성 E. avium을 동정하여보고하는 바이다. vancomycin 내성 E. avium이 장내 군집 VRE에서 드물게 관찰되기는 했지만, 임상검체에서 분리된 증례보고는매우 드문 것으로 판단된다. 균주는 표현성상 및 16S rRNA 염기서열분석을 통해 확인되었다.
Abstract
Enterococcus avium, very commonly found in birds, is rarely reported as a human pathogen. Although several studies have focused on cases of infection with E. avium, little is known about the clinical features of E. avium infection and the antimicrobial susceptibility pattern of E. avium. We isolated vanA-producing vancomycin-resistant E. avium from specimen obtained from the wound of a patient with diabetes mellitus. Vancomycin-resistant E. avium is rarely observed among the vancomycin-resistant enterococci colonizing the intestine, and there are very few reports of vancomycin-resistant E. avium isolated from clinical specimens. Here we confirmed that the clinical isolate was E. avium on the basis of phenotypic characterization and the results of 16S rRNA sequence analysis.
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