The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Post-Operative Intra-Abdominal Infection Caused by Corynebacterium Striatum

수술 후 발생한 Corynebacterium Striatum 복강 내 감염

  • Choi, Hyun-Seok (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Ju-Seung (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Jung, Eul-Sik (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Ae-Jin (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Jung, Han (Department of Urology, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Park, Yoon-Soo (Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science) ;
  • Seo, Yiel-Hea (Department of Laboratory Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science)
  • 최현석 (가천의과학대학교 길병원 내과) ;
  • 김주승 (가천의과학대학교 길병원 내과) ;
  • 정을식 (가천의과학대학교 길병원 내과) ;
  • 김애진 (가천의과학대학교 길병원 내과) ;
  • 정한 (가천의과학대학교 길병원 비뇨기과) ;
  • 박윤수 (가천의과학대학교 길병원 내과) ;
  • 서일혜 (가천의과학대학교 길병원 진단검사의학과)
  • Published : 2012.04.01
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Abstract

Corynebacterium striatum is an aerobic, Gram-positive bacillus that is part of the resident flora of skin and mucosal membranes. C. striatum is usually considered a non-pathogenic contaminant, although infective endocarditis and respiratory infection, and less frequently arthritis and meningitis, due to C. striatum have been reported. C. striatum has been particularly associated with catheter-related infections and infections following conditions that resulted in disruption of the skin barrier in both immunocompromised and immunocompetent hosts. We describe a case of post-operative intra-abdominal infection caused by the rare pathogen, C. striatum.

C. striatum은 피부, 점막 상재균으로 병독성이 낮아 주로 배양 검사에서 동정 시 주로 오염균으로 분류되지만 최근들어 감염이 증가하고 있다. 감염질환으로 심내막염, 폐렴, 패혈성 관절염, 뇌수막염 등이 보고되며 복강 내 감염으로 도관 관련 감염, 창상 감염이 보고되었다. 저자들은 비뇨기과 수술 후 발생한 C. striatum에 의한 복강 내 감염을 vancomycin과 amoxicillin/clavulanate로 성공적으로 치료하였기에 보고한다. 창상감염에서 일반적인 항생제 치료에 반응하지 않고, 배양 검사에서 전형적인 창상감염의 원인균이 아닌 그람 양성 막대균이 동정된다면 C. striatum에 의한 창상감염도 고려하여야 하며 vancoymcin을 포함한 약제 사용을 고려해야 한다.

Keywords

References

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