中国首例污蝇解壳杆菌血流感染病例报告
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R446.5

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海南省卫生健康科技创新联合项目(WSJK2024QN116);2021年三亚市高校及医疗机构专项科技计划项目(2021GXYL18)


First report of bloodstream infection caused by Wohlfahrtiimonas chitiniclastica in China
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    摘要:

    本研究首次报告国内1例由污蝇解壳杆菌(Wohlfahrtiimonas chitiniclastica)引起的血流感染病例。患者双份血培养均分离出单一M1菌株,无混合感染,证实其具有独立致病性。全自动微生物鉴定系统和质谱仪均未能准确鉴定M1菌株。通过全基因组测序,成功将其鉴定为污蝇解壳杆菌。药物敏感性试验结果表明,M1对替卡西林/克拉维酸、头孢吡肟、头孢他啶、亚胺培南、美罗培南、妥布霉素、阿米卡星、环丙沙星、左氧氟沙星敏感,而对哌拉西林/他唑巴坦耐药。系统进化分析表明,M1菌株与德国菌株亲缘关系最高,提示可能存在跨洲际流行风险。此外,不同宿主来源分离株存在密切进化关系,为其跨物种传播提供了有力证据。

    Abstract:

    This study reports a case of bloodstream infection (BSI) caused by Wohlfahrtiimonas chitiniclastica (W. chitiniclastica) in China for the first time. A single M1 strain was isolated from two blood cultures of the patient, confirming its independent pathogenicity without coinfection. The automated microbial identification system and mass spectrometry failed to accurately identify strain M1. Whole genome sequencing successfully classified it as W. chitiniclastica. Antimicrobial susceptibility testing revealed that M1 was sensitive to ticarcillin/clavulanic acid, cefepime, ceftazidime, imipenem, meropenem, tobramycin, amikacin, ciprofloxacin, and levofloxacin, while resistance to piperacillin/tazobactam. Phylogenetic analysis demonstrated that the M1 strain had the highest affinity with the German strain, suggesting the risk of intercontinental transmission. In addition, there was a close evolutionary relationship between isolates from different hosts, providing strong evidence for their cross-species transmission.

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朱华雄,李浩,钟山,等.中国首例污蝇解壳杆菌血流感染病例报告[J]. 中国感染控制杂志,2026,25(2):303-306. DOI:10.12138/j. issn.1671-9638.20262676.
ZHU Huaxiong, LI Hao, ZHONG Shan, et al. First report of bloodstream infection caused by Wohlfahrtiimonas chitiniclastica in China[J]. Chin J Infect Control, 2026,25(2):303-306. DOI:10.12138/j. issn.1671-9638.20262676.

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  • 收稿日期:2025-09-24
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  • 在线发布日期: 2026-03-04
  • 出版日期: 2026-02-28