당뇨환자에서 발생한 Helcococcus kunzii에 의한 모소낭염 1례

Abstract

Helcococcus kunzii (H. kunzii) is a gram-positive coccoid bacterium. It was first described by Collins et al in 1993. It is considered to be part of the normal flora of the skin of the lower extremities. However H. kunzii from deep tissue may play a pathogenic role. Underlying conditions such as diabetes mellitus and vascular insufficiencies may be linked to colonization with H. kunzii . It is not common clinical pathogen and most isolates were recovered lower extremity wound. We reported a case of H. kunzii isolated from pilonidal cyst infection in diabetes patient. A-81-year old woman had a painful ulcerative mass on sacral area for 1 month. She was diagnosed hypertension, diabetes mellitus. She underwent transvaginal hysterectomy and received radiation therapy due to cervical cancer. There is an ulceration with exposed periosteum covered with unhealthy hardened granulation tissue. She underwent debridement and bilateral advancement flap operation. Culture of deep tissue was confirmed H. kunzii . So, we diagnosed pilonidal cyst infection by H. kunzii.