지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2023.4
- 수록면
- 114 - 119 (6page)
- DOI
- 10.47429/lmo.2023.13.2.114
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초록· 키워드
오류제보하기
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.
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