弯曲杆菌胎儿
菌血症
医学
蜂窝织炎
红霉素
骨髓炎
胎儿
并发症
脊椎骨髓炎
外科
抗生素
脓肿
怀孕
生物
遗传学
微生物学
作者
Patrick Francioli,Jessica Herzstein,J. P. Grob,Jean-Jaques Vallotton,G Mombelli,Michael Pierre Glauser
出处
期刊:Archives of internal medicine
[American Medical Association]
日期:1985-02-01
卷期号:145 (2): 289-289
被引量:77
标识
DOI:10.1001/archinte.1985.00360020125020
摘要
Eight patients with Campylobacter fetus bacteremia, six of them with serious underlying diseases, were seen in a two-year period. Besides fever, which was observed in all cases, the most frequent clinical manifestation was lower extremity phlebitis and cellulitis (four patients). In one of these patients, it had the peculiar aspect of bilateral pretibial cellulitis. One patient had vertebral osteomyelitis, a complication, to our knowledge, not yet described. Two patients, both with advanced underlying diseases, died. The five patients who completed a two- to three-week course of erythromycin gluceptate, all had initial clinical improvement. However, one patient suffered a relapse at the end of treatment, and progression of vertebral osteomyelitis while on erythromycin therapy was observed in another patient. These clinical and bacteriologic failures occurred despite the in vitro sensitivity to erythromycin of the two strains. This suggests that erythromycin might not be adequate therapy for C fetus septicemia.
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