Kluyvera intermedia bacteremia with septic shock: A case report

BACKGROUND: Kluyvera intermedia is a bacterium indigenous to humans. But Kluyvera intermedia bacteremia has been not reported thus far. We report a case of Kluyvera intermedia bacteremia with septic shock due to left obstructive pyelonephritis as a result of urolithiasis. CASE PRESENTATION: A 66-yea...

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Detalles Bibliográficos
Autores principales: Inoue, Tomohiro, Hadano, Yoshiro, Koga, Hitoshi, Tamehiro, Kazuhito, Sagara, Syuichirou, Tokuda, Yuuji, Urabe, Syougo, Mukasa, Kohta, Onitsuka, Kouhei, Higuchi, Masahiro, Sudo, Toshiki, Mabe, Takaaki, Toyama, Kiyosiro, Ichikawa, Aoi, Hisaka, Syunsuke, Moriya, Tomoka, Yamamoto, Miki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10130850/
https://www.ncbi.nlm.nih.gov/pubmed/37122594
http://dx.doi.org/10.1016/j.idcr.2023.e01765
Descripción
Sumario:BACKGROUND: Kluyvera intermedia is a bacterium indigenous to humans. But Kluyvera intermedia bacteremia has been not reported thus far. We report a case of Kluyvera intermedia bacteremia with septic shock due to left obstructive pyelonephritis as a result of urolithiasis. CASE PRESENTATION: A 66-year-old woman with septic shock due to left obstructive pyelonephritis was transferred to our hospital. Tazobactam/Piperacillin 4.5 g was administered every 8 h for 5 days. The patient's condition improved, and she was transferred back to the previous hospital. Kluyvera intermedia was obtained by blood cultures. The patient was successfully treated with a two-week course of antibiotics. CONCLUSIONS: We describe the first case of bacteremia with septic shock caused by Kluyvera intermedia. Kluyvera intermedia can be a causative pathogen of septic shock. Since this bacterium has not been reported in the past, we expect further reports and the accumulation of cases in the future.

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