{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T10:59:16Z","timestamp":1775905156002,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"21","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Anamnese und klinischer Befund\u2002Die 60-j\u00e4hrige Patientin wurde vor 34 Monaten von ihrer Katze am linken Augenlid gekratzt. Danach kam es zu chronischen, langsam progredienten Hautver\u00e4nderungen mit sich verst\u00e4rkenden Kopfschmerzen. Therapieversuche mit Kortison, Pimecrolimus, Pregabalin und Metamizol waren erfolglos. Nach 24 Monaten klagte sie \u00fcber starken Bulbus-Schmerz am linken Auge, zunehmende Schmerzen bei Augenbewegungen und gro\u00dfe Lichtempfindlichkeit. Es zeigten sich granulomat\u00f6se Papeln im Bereich des Auges.<\/jats:p><jats:p>Untersuchungen und Diagnose\u2002Die interdisziplin\u00e4ren Untersuchungsbefunde und klinisch-chemischen Parameter waren unauff\u00e4llig. Eine Biopsie aus dem Lidbereich erbrachte den Nachweis von Delftia acidovorans mittels bakterieller 16S-rRNA-PCR.<\/jats:p><jats:p>Therapie und Verlauf\u2002Unter der Therapie mit Piperacillin\/Tazobactam 3-mal 4,5\u200ag\/d i.\u200av. f\u00fcr 10 Tage kam es zu einer raschen klinischen Besserung, sodass die Patientin nach 11\u00a0Tagen entlassen werden konnte. Nach weiteren 10 Monaten war sie rezidiv- und beschwerdefrei.<\/jats:p><jats:p>Folgerung\u2002D. acidovorans ist bislang nicht als zoonotischer Erreger in Erscheinung getreten, sollte aber bei Verletzungen durch Tiere in die differenzialdiagnostischen Erw\u00e4gungen einbezogen werden.<\/jats:p>","DOI":"10.1055\/a-1173-4598","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T22:39:19Z","timestamp":1603233559000},"page":"1559-1561","source":"Crossref","is-referenced-by-count":2,"title":["Orbita-Infektion mit Delftia acidovorans nach Katzenkratzer"],"prefix":"10.1055","volume":"145","author":[{"given":"Walter Johannes","family":"Smits","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Allgemeinmedizin, Hamminkeln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinz-Hubert","family":"Feucht","sequence":"additional","affiliation":[{"name":"Aesculabor, Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Oellig","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pathologie, M\u00fclheim\/Ruhr"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Z\u00f6llner","sequence":"additional","affiliation":[{"name":"Bioscientia MVZ Nordrhein, Moers"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"ref1","first-page":"433","article-title":"Animal and human bite wounds","volume":"112","author":"K Rothe","year":"2015","journal-title":"Dtsch \u00c4rzteblatt"},{"key":"ref2","first-page":"393","article-title":"Disseminated cat scratch disease: The wide variety of clinical presentations","volume":"90","author":"E Maiques-Tobias","year":"2019","journal-title":"An Paediatr"},{"key":"ref3","first-page":"E57","article-title":"Severe streptococcal infection following cat scratch","volume":"30","author":"S Veraldi","year":"2018","journal-title":"Wounds"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1155\/2015\/973284","article-title":"Delftia acidovorans: A rare pathogen in immunocompetent and immunocompromised patients","volume":"26","author":"H Bilgin","year":"2015","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/01.idc.0000155840.49633.f6","article-title":"Ochrobactrum anthropi and Delftia acidovorans to bacteremia in a patient with a gunshot wound","volume":"13","author":"J W Oliver","year":"2005","journal-title":"Infect Dis Clin Pract"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s10156-012-0472-x","article-title":"Delftia acidovorans bacteremia caused by bacterial translocation after organophophorus poisoning in an immunocompetent adult patient","volume":"19","author":"H Hagiya","year":"2013","journal-title":"J Infect Chemother"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4046\/trd.2009.67.3.239","article-title":"Delftia acidovorans isolated from the drainage in an immunocompetent patient with empyema","volume":"67","author":"J Chun","year":"2009","journal-title":"Tuberc Respir Dis"},{"key":"ref8","first-page":"180","article-title":"Delftia acidovorans bacteremia associated with ascending urinary tract infections proved by molecular method","volume":"4","author":"S K Kam","year":"2012","journal-title":"J\u00a0Exp Clin Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1111\/j.1365-2796.1992.tb00957.x","article-title":"Pseudomonas infections in patients with AIDS and AIDS related complex","volume":"231","author":"F Franzetti","year":"1992","journal-title":"J Int Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1097\/00006454-199610000-00021","article-title":"Vascular catheter-related Commamonas acidovorans bacteremia managed with preservation of the catheter","volume":"15","author":"P T Ender","year":"1996","journal-title":"Pediatr Infect Dis J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"49","DOI":"10.3341\/kjo.2008.22.1.49","article-title":"Experience of Commamonas acidovorans keratitis with delayed onset and treatment response in immunocompromised cornea","volume":"22","author":"S M Lee","year":"2008","journal-title":"Korean J Ophthalmol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1590\/abd1806-4841.20174534","article-title":"Lupus miliaris disseminatus faciei","volume":"92","author":"H Toda-Brito","year":"2017","journal-title":"An Bras Dermatol"}],"container-title":["DMW - Deutsche Medizinische Wochenschrift"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1173-4598.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T16:31:33Z","timestamp":1617985893000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1173-4598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":12,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2020,10,20]]},"published-print":{"date-parts":[[2020,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1173-4598","relation":{},"ISSN":["0012-0472","1439-4413"],"issn-type":[{"value":"0012-0472","type":"print"},{"value":"1439-4413","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}