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결과 내 검색 동의어 포함

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초록보기

77세 남성이 콩줄기에 찔려 생긴 왼손 통증으로 응급센터를 방문하였다. 전형적인 증상과 실험실 소견은 감염성 건초염을 강하게 시사했다. 면봉 배양에서 Kosakonia cowanii가 Bruker Biotyper (Bruker Daltonics, Germany)로 확인되었으며, 전체 16S 리보솜 RNA와 gryB 염기서열분석으로 확인되었다. 이는 국내 최초로 보고된 K. cowanii 인체 감염 사례이다. 16S rRNA 염기서열분석만 시행하는 것은 정확한 동정을 하기에 충분하지 않았으며, gyrB 염기서열분석을 추가하거나 Bruker Biotyper (Bruker Daltonics)를 사용하면 동정이 가능하다. 혹은 만약 Pantoea spp.가 Vitek 2 system (bioMérieux, France)에서 의심되지만 소르비톨 발효가 양성인 경우 K. cowanii를 의심할 수 있다. 또한 K. cowanii는 세파졸린을 포함한 베타락탐 항생제에 내성이 있을 수 있으므로 그러한 경우에는 카바페넴, 3세대 또는 4세대 세팔로스포린, 아미노글리코사이드, 플루오로퀴놀론 또는 트리메토프림/술파메톡사졸을 사용하는 것이 적절할 수 있다. 마지막으로 항생제감수성검사는 표준검사 방법을 사용해야 하며 Etest를 이용한 항생제감수성검사는 아직 신뢰하기 어렵다.

A 77-year-old man with pain in his left hand after being pricked by a beanstalk visited an emergency center. Symptoms and laboratory findings suggested infectious tenosynovitis. Using the Bruker Biotyper (Bruker Daltonics, Germany), Kosakonia cowanii was identified in the swab culture and was confirmed by full-length 16S ribosomal RNA (rRNA) and gyrB sequencing. To the best of our knowledge, this is the first reported case of K. cowanii infection in Korea. Performing only 16S rRNA sequencing was insufficient for accurate identification, and gyrB sequencing or using the Bruker Biotyper (Bruker Daltonics, Germany) confirmed the identification. A positive sorbitol fermentation test can indicate the microorganism to be K. cowanii even if the VITEK 2 system (bioMérieux, France) identifies it as Pantoea spp. Additionally, K. cowanii may be resistant to beta-lactam antibiotics, including cefazolin; therefore, it may be appropriate to use carbapenems, third- or fourth-generation cephalosporins, aminoglycosides, fluoroquinolones, and trimethoprim/sulfamethoxazole. Finally, antibiotic susceptibility testing (AST) should be conducted using a reference method, and Etest AST is unreliable for K. cowanii, especially with beta-lactam/beta-lactamase inhibitors.

권호기사

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기사명 저자명 페이지 원문 목차
감염병 체외진단용 의료기기 현황과 전망 : Current status and perspectives for in vitro medical devices for infectious disease diagnosis : survey of product development and clinical trials / 제품 개발 및 임상적 성능시험 설문조사 김수민, 이승준, 김선주 p. 65-71

FLT3-ITD 검사의 국내 현황 조사(2021) = Status of FLT3-ITD analysis in Korea (2021) 김현영, 김인숙, 김미영, 신새암, 이자영 p. 72-77

Performance evaluation of QMAC-dRAST using consecutive positive clinical blood culture samples = 연속적인 임상 혈액 배양 양성 검체를 이용한 QMAC-dRAST의 성능 평가 Heekang Choi, Daewon Kim, Mijung Kwon, Jung-Hyun Byun, Bonghwan Jin, Ki Ho Hong, Hyukmin Lee, Dongeun Yong p. 78-84

환자와 의료기관 종사자에서 QuantiFERON-TB Gold-Plus 양성 패턴과 추적 결과 분석 = Analysis of positive patterns and follow-up results of the QuantiFERON-TB Gold-Plus test in the screening of patients and healthcare workers 신은주, 서종도, 김한아, 허미나, 윤여민, 문희원 p. 85-90

Coffin-Siris syndrome : Coffin-Siris 증후군 : 유전형-표현형 상관관계 군집 분석 및 새로운 변이 / genotype-phenotype clustering and novel variants Joowon Jang, Seung Won Chae, Ho Seop Shin, Sung Im Cho, Boram Kim, Jee-soo Lee, Man Jin Kim, Sung Sup Park, Moon-woo Seong p. 91-96

Various ABO genotyping-phenotyping results for ABO blood group discrepancy : ABO 혈액형 불일치에 대한 유전형과 표현형의 후향적 연구 / a retrospective study Soo Jung Lee, Seungwan Chae, Jaeeun Yoo, Dong Wook Jekarl, Seungok Lee, Myungshin Kim, Yonggoo Kim p. 97-102

(An) algorithm to work-up ABO subgroups presenting as weak B in a real-world laboratory : 약-B형과 같은 ABO 아형의 문제해결을 위한 알고리즘 접근법 : B101/O04-variant 대립유전자를 가진 약-B형 증례 / a case with a weak B phenotype harboring B101/O04-variant alleles Seong-Jun Jeon, Joo-Heon Park, Myung-Geun Shin, Chan Park, Eun Jeong Won, Geon Park p. 103-108

(A) case of T-lymphoblastic leukemia with submicroscopic 1p33 deletion resulting in STIL-TAL1 fusion = 초현미경적 1p33 결실로 인한 STIL-TAL1 융합을 동반한 T림프모구백혈병 1예 Soon Hee Chang p. 109-113

Tenosynovitis of the hand caused by Kosakonia cowanii after being pricked by a beanstalk = 콩줄기에 찔린 후 Kosakonia cowanii에 의해 발생한 손 건초염 Shin Young Yun, Jung Rim Kim, Ki Ho Hong, Dongeun Yong, Hyukmin Lee p. 114-119

(The) first cases of OPHN1 exons 1 and 2 deletion in two X-linked intellectual developmental disorder patients in Korea = 두 명의 X-연관 지적 장애 환자에서 발견된 OPHN1 엑손 1, 2 결실의 국내 첫 증례 Kyoung Bo Kim, Soyoung Lee, Do-Hoon Kim p. 120-123

참고문헌 (20건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Clinical and Laboratory Standards Institute. Interpretive criteria for identification of bacteria and fungi by targeted DNA sequencing. 2nd ed. CLSI guideline MM18. Wayne, PA: Clinical and Laboratory Standards Institute, 2018. 미소장
2 Yoon SH, Ha SM, Kwon S, Lim J, Kim Y, Seo H, et al. Introducing EzBioCloud: a taxonomically united database of 16S rRNA gene sequences and whole-genome assemblies. Int J Syst Evol Microbiol 2017;67:1613-7. 미소장
3 Duployez C, Edun-Renard ME, Kipnis E, Dessein R, Le Guern R. Bacteremia due to Kosakonia cowanii in a preterm neonate. J Pediatr Infect Dis 2021;16:183-6. 미소장
4 Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing. 32nd ed. CLSI supplement M100. Wayne PA: Clinical and Laboratory Standards Institute, 2022. 미소장
5 Inoue K, Sugiyama K, Kosako Y, Sakazaki R, Yamai S. Enterobacter cowaniisp. nov., a new species of the family Enterobacteriaceae. Curr Microbiol 2000;41:417-20. 미소장
6 Brady C, Cleenwerck I, Venter S, Coutinho T, De Vos P. Taxonomic evaluation of the genus Enterobacter based on multilocus sequence analysis (MLSA): proposal to reclassify E. nimipressuralis and E. amnigenus into Lelliottia gen. nov. as Lelliottia nimipressuralis comb. nov. and Lelliottia amnigena comb. nov., respectively, E. gergoviae and E. pyrinus into Pluralibacter gen. nov. as Pluralibacter gergoviae comb. nov. and Pluralibacter pyrinus comb. nov., respectively, E. cowanii, E. radicincitans, E. oryzae and E. arachidis into Kosakonia gen. nov. as Kosakonia cowanii comb. nov., Kosakonia radicincitans comb. nov., Kosakonia oryzae comb. nov. and Kosakonia... 미소장
7 Mardaneh J and Soltan-Dallal MM. Isolation and identification of E. cowanii from powdered infant formula in NICU and determination of antimicrobial susceptibility of isolates. Iran J Pediatr 2014;24:261-6. 미소장
8 Zhang Y, Wang B, Li Q, Huang D, Zhang Y, Li G, et al. Isolation and Complete Genome Sequence Analysis of Kosakonia cowanii Pa82, a Novel Pathogen Causing Bacterial Wilt on Patchouli. Front Microbiol 2022;12:818228. 미소장
9 Sarkar S and Chaudhuri S. New report of additional enterobacterial species causing wilt in West Bengal, India. Can J Microbiol 2015;61:477-86. 미소장
10 Washio K, Yamamoto G, Ikemachi M, Fujii S, Ohnuma K, Masaki T. Rhabdomyolysis due to bacteremia from Enterobacter cowanii caused by a rose thorn prick. J Dermatol 2018;45:e313-4. 미소장
11 Berinson B, Bellon E, Christner M, Both A, Aepfelbacher M, Rohde H. Identification of Kosakonia cowanii as a rare cause of acute cholecystitis: case report and review of the literature. BMC Infect Dis 2020;20:366. 미소장
12 Mardaneh J and Dallal MM. Isolation, identification and antimicrobial susceptibility of Pantoea (Enterobacter) agglomerans isolated from consumed powdered infant formula milk (PIF) in NICU ward: First report from Iran. Iran J Microbiol 2013;5:263-7. 미소장
13 Gavini F, Mergaert J, Beji A, Mielcarek C, Izard D, Kersters K, et al. Transfer of Enterobacter agglomerans (Beijerinck 1888) Ewing and Fife 1972 to Pantoea gen. nov. as Pantoea agglomerans comb. nov. and Description of Pantoea dispersa sp. nov. Int J Syst Evol Microbiol 1989;39:337-45. 미소장
14 Rezzonico F, Smits TH, Montesinos E, Frey JE, Duffy B. Genotypic comparison of Pantoea agglomerans plant and clinical strains. BMC Microbiol 2009;9:204. 미소장
15 Farmer JJ 3rd, Davis BR, Hickman-Brenner FW, McWhorter A, Huntley-Carter GP, Asbury MA, et al. Biochemical identification of new species and biogroups of Enterobacteriaceae isolated from clinical specimens. J Clin Microbiol 1985;21:46-76. 미소장
16 Bhatti MD, Kalia A, Sahasrabhojane P, Kim J, Greenberg DE, Shelburne SA. Identification and whole genome sequencing of the first case of Kosakonia radicincitans causing a human bloodstream infection. Front Microbiol 2017;8:62. 미소장
17 Soares A, Pestel-Caron M, de Rohello F, Bourgoin G, Boyer S, Caron F. Area of technical uncertainty for susceptibility testing of amoxicillin/clavulanate against Escherichia coli: Analysis of automated system, Etest and disk diffusion methods compared to the broth microdilution reference. Clin Microbiol Infect 2020;26:1685. e1-6. 미소장
18 Giani T, Morosini MI, D’Andrea MM, García-Castillo M, Rossolini GM, Cantón R. Assessment of the Phoenix™ automated system and EUCAST breakpoints for antimicrobial susceptibility testing against isolates expressing clinically relevant resistance mechanisms. Clin Microbiol Infect 2012;18:E452-8. 미소장
19 Donay JL, Mathieu D, Fernandes P, Prégermain C, Bruel P, Wargnier A, et al. Evaluation of the automated Phoenix system for potential routine use in the clinical microbiology laboratory. J Clin Microbiol 2004;42:1542-6. 미소장
20 Gajdács M. Epidemiology and antibiotic resistance trends of Pantoea species in a tertiary-care teaching hospital: A 12-year retrospective study. Develop Health Sci 2019;2:72-5. 미소장

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