粘滑羅斯菌(Rothia mucilaginosa)

簡介

       粘滑羅斯菌(Rothia mucilaginosa)屬于微球菌科(Micrococcaceae)，革蘭陽性球菌、需氧。

臨床相關性

        口腔、上呼吸道正常菌群，多引起免疫受損病人感染，如菌血癥、心內膜炎、肺炎、腦膜炎、眼內炎、角膜炎、人工關節感染、化膿性關節炎、腹透病人腹膜炎、肺膿腫、膿胸、腎盂腎炎等。多數菌對頭孢曲松、萬古霉素、左氧氟沙星、碳青霉烯類敏感。

藥敏

        肉湯稀釋法（裂解馬血陽離子調節肉湯）檢測MIC受試抗生素及其折點參考M45，Table19；對來自無菌部位（如血液、深部組織、植入假體裝置）以及呼吸道標本，特別是免疫缺陷患者，需要藥敏試驗；絕大部分菌株罕見對受試抗生素“非敏感”表型，如遇該菌株建議復查后送上級實驗室確認。

參考文獻

1.Schermerhorn JT, et al. A Case of Periprosthetic Joint Infection Because of Rothia Mucilaginosa. Mil Med.2023 Mar 20;188(3-4):e894-e897.

2.Daoub A, et al. Rothia mucilaginosa: a case of septic arthritis in a native knee and review of the literature. BMJ Case Rep.2021 Jan 18;14(1):e237015.

3.Robertson RD, et al. Rothia mucilaginosa bacteremia, meningitis leading to diffuse cerebritis in an adolescent patient undergoing acute myeloid leukemia chemotherapy causing significant morbidity.SAGE Open Med Case Rep.2021 Dec 8;9:2050313X211063745.

4.Lam H, et al. Rothia Mucilaginosa Endophthalmitis Associated With iStent Inject Implantation.JGlaucoma.2022 Jun 1;31(6):e37-e40.

5.Yang L, et al. Severe Pneumonia Advanced to Lung Abscess and Empyema Due to Rothia Mucilaginosa in an lmmunocompetent Patient. Am J Med Sci.2020 Jan;359(1):54-56.

6.Song YY, et al. A Case of Rothia mucilaginosa Keratitis in South Korea. KoreanJ Ophthalmol. 2017 0ct;31(5):460-461.

7.Bertrand K, et al. [Rothia mucilaginosa pyelonephritis six months after kidney transplantation]. Med Mal Infect.2016 Oct;46(7):399-401.