CLINICAL IMPORTANCE OF BILOPHILA-WADSWORTHIA
CLINICAL IMPORTANCE OF BILOPHILA-WADSWORTHIA
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DOI：
10.1007/bf01967799
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发表时间：
1992-11-01
影响因子：
4.5
通讯作者：
BARON, E
中科院分区：
文献类型：
--
作者：
FINEGOLD, S;SUMMANEN, P;BARON, E
嗜胆汁瓦氏菌是一种厌氧、革兰氏阴性、溶天冬氨酸、尿素酶阳性、抗胆汁、过氧化氢酶阳性的杆菌，最初从坏疽和穿孔阑尾炎患者的感染中恢复。本文还介绍了从临床标本中分离的其他病原体，包括胸膜液、关节液、阴囊脓肿的血液和脓液、下颌骨骨髓炎和腋窝化脓性汗腺炎。嗜胆汁菌作为正常植物群存在于粪便中，偶尔也存在于唾液和阴道中。来自人类的分离株通常是β-内酰胺酶阳性，因此对某些β-内酰胺抗生素具有耐药性。2%的菌株对克林霉素也有耐药性。
Bilophila wadsworthia is an anaerobic, gram-negative, asaccharolytic, urease-positive, bile-resistant, catalase-positive bacillus, originally recovered from infections in patients with gangrenous and perforated appendicitis. Additional isolations from clinical specimens, including pleural fluid, joint fluid, blood and pus from a scrotal abscess, mandibular osteomyelitis and axillary hidradenitis suppurativa are described here. Bilophila is found as normal flora in feces and, occasionally, in saliva and in the vagina. Isolates from humans are usually beta-lactamase positive and therefore resistant to certain beta-lactam antibiotics. Two percent of strains are also resistant to clindamycin.