Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Diagnostic Performance of Blood Culture Bottles for Abscess Culture in Patient with Abdominal Soft Tissue Abscess

복부 연조직 농양 환자에서 농양 배양을 혈액배양병으로 했을 때의 성과 1예

  • Jo, Kyo Jin (Department of Pediatrics, Pusan National University Children's Hospital) ;
  • Chang, Chulhun L. (Department of Laboratory Medicine, Pusan National University Yangsan Hospital) ;
  • Hwang, Jae-Yeon (Department of Radiology, Pusan National University Yangsan Hospital) ;
  • Park, Su Eun (Department of Pediatrics, Pusan National University Children's Hospital)
  • 조교진 (부산대학교 어린이병원 소아청소년과) ;
  • 장철훈 (양산부산대학교병원 진단검사의학과) ;
  • 황재연 (양산부산대학교병원 영상의학과) ;
  • 박수은 (부산대학교 어린이병원 소아청소년과)
  • Received : 2021.04.29
  • Accepted : 2021.08.12
  • Published : 2021.08.25
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Abstract

Culture tests are very important in choosing the appropriate antibiotics for bacterial infections. In some cases, bacteria that could not be identified in standard culture bottles could be detected using blood culture bottles. A previously healthy 13-year-old boy visited our emergency room. He experienced pain, redness, and hardness of periumbilical skin and a fever for five days. There was no history of abdominal surgery and penetrating trauma. Computed tomography showed abscess with cellulitis at the periumbilical soft tissue with no congenital anomaly. Ultrasonography-guided aspiration was performed, and about 8.5 mL of the purulent abscess was aspirated. The abscess was cultured using blood culture bottle. The pus grew Actinomyces radingae and Clostridium ramosum. When performing the pus culture, using blood culture bottles can be more effective and rapid than the standard culture method for the detection of bacterial pathogens.

세균 감염에서 적절한 항생제를 선택하려면 배양검사가 매우 중요하다. 저자들은 복부 연조직 감염의 농양을 혈액배양병을 사용하여 시행한 배양검사에서 Actinomyces radingae와 Clostridium ramosum이 배양된 증례를 경험하여 보고하고자 한다. 이전에 건강하였던 13세 남자 환자가 배꼽주변에 발생한 통증, 발적 및 발열을 주소로 응급실에 내원하였다. 환아는 복부 수술 및 외상의 병력은 없었다. 컴퓨터 단층 촬영에서 배꼽주위에 농양을 동반한 피부 연조직염이 확인되었고 선천성 기형은 없었다. 초음파 유도 흡인을 하여 8.5 mL의 화농성 농양이 흡인되었고, 농양은 혈액배양병을 이용하여 배양하였다. 농양 배양검사에서 A. radingae와 C. ramosum이 확인되었다. 감염증의 원인이 드문 세균일 가능성이 있는 경우 농양 배양을 할 때 일반적인 농양배양의 방법 보다는 혈액배양병을 사용하는 것이 원인균이 분리될 가능성을 높이고 더 빨리 확인할 수 있을 것으로 사료된다.

Keywords

Acknowledgement

This study was supported by a 2021 research grant from Pusan National University Yangsan Hospital.

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