由孔氏创伤球菌引起糖尿病性足病感染的个案报道

A Case Report of Diabetic Foot Infection Caused by Helcococcus kunzii

摘要: 背景：孔氏创伤球菌是兼性厌氧菌，最初被认为是一种人体下肢皮肤的正常菌群，因孔氏创伤球菌引起侵袭性感染的病例在国内外文献报道中极其罕见，现报道我院中医外科一例由此菌引起的糖尿病足的病历。病例：患者为67岁女性以糖尿病足收入我院中医外科，术中和术后取分泌物做细菌培养，两次结果均培养出孔氏创伤球菌，后经左氧氟沙星静脉滴注和我院自制中药联合用药后，病情明显好转后出院。讨论：本文报道的病例在国内是第一例由孔氏创伤球菌引起的糖尿病性足病感染的病例，现在随着大量抗生素的使用，原认为是人体正常菌群的孔氏创伤球菌，也会引起人体侵袭性感染，应引起广大临床工作者的高度重视。

Abstract: Background: Helcococcus kunzii is a facultative anaerobic bacteria, which was originally consi-dered a normal flora of human lower limb skin. The cases of invasive infection caused by Helco-coccus kunzii are extremely rare in domestic and foreign literature. In this paper, the patient with diabetes mellitus caused by Helcococcus kunzii is reported. The patient was 67 year old female with diabetes foot in our hospital surgery. In and after operation, the secretions were taken for bacterial culture. Helcococcus kunzii has been cultured two times. After the intravenous drip of levofloxacin and the combination of Chinese herbal medicine in our hospital, the condition of the patient improved significantly and discharged. Discussion: What has reported in this article is the first case of invasive trauma caused by the pathogen of diabetic foot disease cases in the country. Now with the use of a large number of antibiotics, Helcococcus kunzii, which was originally considered the normal bacteria of body can also cause the body invasive infection. And clinical workers should attach great importance to Helcococcus kunzii.