Multiple skin abscesses associated with bacteremia caused by Burkholderia gladioli:A case report  

作　　者：Yi-Ting Wang Xue-Wen Li Pan-Yang Xu Chun Yang Jian-Cheng Xu 

机构地区：[1]The First Hospital of Jilin University,Laboratory Medicine,Changchun 130021,Jilin Province,China

出　　处：《World Journal of Clinical Cases》2022年第7期2286-2293,共8页世界临床病例杂志

基　　金：Supported by Jilin Science and Technology Development Program,No.20190304110YY

摘　　要：BACKGROUND Burkholderia gladioli(B.gladioli)is regarded as a rare opportunistic pathogen.Only a few patients with abscesses caused by B.gladioli infections have been reported,and these are usually abscesses at the incision caused by traumatic surgery.CASE SUMMARY A 74-year-old male patient with abscesses and pain throughout his body for 1 mo was admitted to our hospital.Some of the abscesses had ruptured with purulent secretions on admission.Color Doppler ultrasound examination of the body surface masses showed mixed masses 75 mm×19 mm,58 mm×17 mm,17 mm×7 mm,and 33 mm×17 mm in size in the muscle tissues of both the right and left forearms,the posterior area of the right knee and the left leg,respectively.Abscess secretions and blood cultures grew B.gladioli.The following 3 methods were used to jointly identify the bacterium:an automatic microbial identification system,matrix-assisted laser desorption/ionization time-of-flight mass spectrometry,and full-length 16 S rDNA sequencing.After 27 d of treatment with meropenem,etimicin,trimethoprim-sulfamethoxazole and other antibiotics,most of his skin abscesses were flat and he was discharged without any symptoms.CONCLUSION This is the first reported case of multiple skin abscesses associated with bacteremia caused by B.gladioli.Our study provides important reference values for the clinical diagnosis and treatment of B.gladioli infections.

关 键 词：Burkholderia gladioli Multiple skin abscesses BACTEREMIA Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry Case report 

分 类 号：R969[医药卫生—药理学]