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Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia
Neisseria cinerea is a commensal which usually resides in the human respiratory tract. Very rarely, the organism finds its way into the bloodstream causing severe bacteremia. So far, very few cases of Neisseria bacteremia have been reported. We report a case of a 78-year-old male, post-splenectomy, ...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145752/ https://www.ncbi.nlm.nih.gov/pubmed/30250769 http://dx.doi.org/10.7759/cureus.3007 |
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author | Patti, Ravikaran Gupta, Sushilkumar S Bhardwaj, Sharonlin Jha, Prameeta Ghatak, Arindam Kupfer, Yizhak Seneviratne, Chanaka |
author_facet | Patti, Ravikaran Gupta, Sushilkumar S Bhardwaj, Sharonlin Jha, Prameeta Ghatak, Arindam Kupfer, Yizhak Seneviratne, Chanaka |
author_sort | Patti, Ravikaran |
collection | PubMed |
description | Neisseria cinerea is a commensal which usually resides in the human respiratory tract. Very rarely, the organism finds its way into the bloodstream causing severe bacteremia. So far, very few cases of Neisseria bacteremia have been reported. We report a case of a 78-year-old male, post-splenectomy, who presented with high fever, cough and shortness of breath. The patient was initially managed for septic shock with fluid resuscitations, vasopressors and broad-spectrum antibiotics. Later, the blood cultures grew gram-negative coccobacilli, Neisseria cinerea. The patient was successfully treated with intravenous ceftriaxone. This is the first case ever of Neisseria cinerea bacteremia in a post-splenectomy patient and ninth case overall. This case illustrates that the physicians should maintain heightened awareness for Neisseria cinerea bacteremia in post-splenectomy patients. |
format | Online Article Text |
id | pubmed-6145752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-61457522018-09-24 Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia Patti, Ravikaran Gupta, Sushilkumar S Bhardwaj, Sharonlin Jha, Prameeta Ghatak, Arindam Kupfer, Yizhak Seneviratne, Chanaka Cureus Internal Medicine Neisseria cinerea is a commensal which usually resides in the human respiratory tract. Very rarely, the organism finds its way into the bloodstream causing severe bacteremia. So far, very few cases of Neisseria bacteremia have been reported. We report a case of a 78-year-old male, post-splenectomy, who presented with high fever, cough and shortness of breath. The patient was initially managed for septic shock with fluid resuscitations, vasopressors and broad-spectrum antibiotics. Later, the blood cultures grew gram-negative coccobacilli, Neisseria cinerea. The patient was successfully treated with intravenous ceftriaxone. This is the first case ever of Neisseria cinerea bacteremia in a post-splenectomy patient and ninth case overall. This case illustrates that the physicians should maintain heightened awareness for Neisseria cinerea bacteremia in post-splenectomy patients. Cureus 2018-07-19 /pmc/articles/PMC6145752/ /pubmed/30250769 http://dx.doi.org/10.7759/cureus.3007 Text en Copyright © 2018, Patti et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Patti, Ravikaran Gupta, Sushilkumar S Bhardwaj, Sharonlin Jha, Prameeta Ghatak, Arindam Kupfer, Yizhak Seneviratne, Chanaka Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia |
title | Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia |
title_full | Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia |
title_fullStr | Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia |
title_full_unstemmed | Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia |
title_short | Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia |
title_sort | neisseria cinerea in a post-splenectomy patient: a rare potentially fatal bacteremia |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145752/ https://www.ncbi.nlm.nih.gov/pubmed/30250769 http://dx.doi.org/10.7759/cureus.3007 |
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