[Corynebacterium pseudotuberculosis adenitis in a shepherd].
Corynebacterium pseudotuberculosis causes suppurative lymphadenitis in sheep and other domestic animals. Human infection has been reported in few instances. We report on a case of Corynebacterium pseudotuberculosis lymphadenitis in a human being. A 34-years old previously healthy shepherd was attended for presenting a painful lymph node in right groin with one year of evolution. Cultures of an aspirate and ganglionar tissue yielded growth of Corynebacterium pseudotuberculosis in pure culture. Histological examination of the excised lymph node showed a suppurative granulomatous lymphadenitis with areas of necrosis in which there were clusters of bacillary organisms. After surgical excision and administration of erythromycin clinical signs disappeared without complications. We have carried out a review of the literature and we have found no case reported in Spain. Corynebacterium pseudotuberculosis lymphadenitis in human beings is a rare entity that principally affects persons in contact with animals, principally sheep. Most cases have been reported in Australia. In accordance with the reviewed literature this is the first time this disease is reported in Spain. Corynebacterium pseudotuberculosis infection should be considered in the differential diagnosis of localized granulomatous lymphadenitis.
Bartolomé
J
J
Laboratorio de Microbiología, Hospital Comarcal de Vinaroz, Castellón.
Roca
M J
MJ
Marcote
E
E
Moreno
R
R
D000328:Adult; D000382:Agricultural Workers' Diseases / Q000382:microbiology / Q000473:pathology*; D000822:Animal Husbandry; D000818:Animals; D002908:Chronic Disease; D003354:Corynebacterium Infections / Q000382:microbiology / Q000473:pathology*; D016925:Corynebacterium pseudotuberculosis / Q000302:isolation & purification; D006801:Humans; D008199:Lymphadenitis / Q000382:microbiology / Q000473:pathology*; D008297:Male; D012756:Sheep; D013030:Spain
Adenitis por Corynebacterium pseudotuberculosis en un pastor.