Chromobacterium violaceum Isolated from a Wound Sepsis: A Case Study from Nepal
Chromobacterium violaceum Isolated from a Wound Sepsis: A Case Study from Nepal
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DOI：
10.1155/2015/181946
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发表时间：
2015-01-01
影响因子：
1.1
通讯作者：
Gautam, Rajendra
中科院分区：
文献类型：
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作者：
Ansari, Shamshul;Paudel, Pramod;Gautam, Rajendra
紫色色杆菌是一种兼性厌氧、革兰氏阴性杆菌，普遍存在于热带和亚热带地区。它通过皮肤损伤进入，能够引起严重的全身感染，导致感染性休克和多器官衰竭。世界各地只有少数作者报道过这一情况，但这可能是尼泊尔第一例从伤口脓毒症中分离出紫色杆菌的病例。在这项研究中，从入住重症监护室的患者身上采集了左中指刺伤感染的脓液样本。对脓液样本的细菌学调查显示，致病微生物是紫色色杆菌。该案例研究表明，紫色色杆菌可能是伤口脓毒症的潜在原因，可能导致感染性休克，如果不及时治疗，死亡率可能会像本研究中那样很高。虽然这种微生物非常罕见，但引起的感染需要及时治疗，以尽量减少死亡率。因此，我们建议及时诊断这种感染并进行抗菌治疗，以对抗其带来的后果。
Chromobacterium violaceum is a facultative anaerobic, Gram-negative rod, prevalent in tropical and subtropical regions. It enters through the skin injury and is capable of causing severe systemic infections leading to septic shock and multiorgan failure. It has been reported by few authors across the world but this is probably the first case of Chromobacterium violaceum isolated from wound sepsis from Nepal. In this study, a pus sample from the infection of a prick injury in the left middle finger was collected from the patient admitted to the intensive care unit. Bacteriological investigations of the pus sample revealed the causative organism to be Chromobacterium violaceum. This case study indicates that Chromobacterium violaceum can act as a potential cause of wound sepsis that may lead to the septic shock and if not treated timely, the mortality rate can be high as was in this study. Although this organism is very rare, the infection caused requires prompt treatment to minimize the mortality rate. Therefore, we recommend the timely diagnosis and antimicrobial therapy of this infection to combat the consequences led.