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Facklamia hominis bacteremia after transurethral resection of the prostate: a case report

BACKGROUND: Transurethral resection of the prostate (TUR-P) is one of the most frequent routine procedures in urology. Because of the semisterile environment, postoperative infections, including sepsis, are a common complication, with Escherichia coli, Klebsiella spp., Proteus mirabilis or Enterococ...

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Autores principales: Gahl, Miriam, Stöckli, Thomas, Fahrner, René
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7720465/
https://www.ncbi.nlm.nih.gov/pubmed/33287796
http://dx.doi.org/10.1186/s12894-020-00762-8
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author Gahl, Miriam
Stöckli, Thomas
Fahrner, René
author_facet Gahl, Miriam
Stöckli, Thomas
Fahrner, René
author_sort Gahl, Miriam
collection PubMed
description BACKGROUND: Transurethral resection of the prostate (TUR-P) is one of the most frequent routine procedures in urology. Because of the semisterile environment, postoperative infections, including sepsis, are a common complication, with Escherichia coli, Klebsiella spp., Proteus mirabilis or Enterococcus faecalis as frequently isolated pathogens. Facklamia hominis is a gram-positive, facultatively anaerobic, alpha-hemolytic, catalase-negative coccus that was first described in 1997. To date, only a few cases of infectious complications have been described. We report the first case of postoperative bacteremia due to Facklamia hominis after TUR-P. CASE PRESENTATION: An 82-year-old man developed fever only a few hours after elective TUR-P because of benign prostate syndrome. After cultivation of blood cultures, antibiotic therapy with ceftriaxone was intravenously administered and changed to oral cotrimoxazole before discharge of the afebrile patient. One anaerobic blood culture revealed Facklamia hominis. Under antibiotic therapy, the patient remained afebrile and showed no signs of infections during follow-up. CONCLUSIONS: Fever and bacteremia are frequent complications after TUR-P. This study is the first report of Facklamia hominis in a postoperative blood culture after TUR-P. To date, there are only a few reports of patients with infectious complications and isolation of Facklamia hominis in various patient samples. Because Facklamia hominis resembles viridans streptococci on blood agar analysis, this pathogen may often be misidentified. In this case identification of Facklamia hominis was possible with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. It has been postulated that Facklamia hominis might be a facultative pathogen and that its incidence will increase in the future.
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spelling pubmed-77204652020-12-07 Facklamia hominis bacteremia after transurethral resection of the prostate: a case report Gahl, Miriam Stöckli, Thomas Fahrner, René BMC Urol Case Report BACKGROUND: Transurethral resection of the prostate (TUR-P) is one of the most frequent routine procedures in urology. Because of the semisterile environment, postoperative infections, including sepsis, are a common complication, with Escherichia coli, Klebsiella spp., Proteus mirabilis or Enterococcus faecalis as frequently isolated pathogens. Facklamia hominis is a gram-positive, facultatively anaerobic, alpha-hemolytic, catalase-negative coccus that was first described in 1997. To date, only a few cases of infectious complications have been described. We report the first case of postoperative bacteremia due to Facklamia hominis after TUR-P. CASE PRESENTATION: An 82-year-old man developed fever only a few hours after elective TUR-P because of benign prostate syndrome. After cultivation of blood cultures, antibiotic therapy with ceftriaxone was intravenously administered and changed to oral cotrimoxazole before discharge of the afebrile patient. One anaerobic blood culture revealed Facklamia hominis. Under antibiotic therapy, the patient remained afebrile and showed no signs of infections during follow-up. CONCLUSIONS: Fever and bacteremia are frequent complications after TUR-P. This study is the first report of Facklamia hominis in a postoperative blood culture after TUR-P. To date, there are only a few reports of patients with infectious complications and isolation of Facklamia hominis in various patient samples. Because Facklamia hominis resembles viridans streptococci on blood agar analysis, this pathogen may often be misidentified. In this case identification of Facklamia hominis was possible with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. It has been postulated that Facklamia hominis might be a facultative pathogen and that its incidence will increase in the future. BioMed Central 2020-12-07 /pmc/articles/PMC7720465/ /pubmed/33287796 http://dx.doi.org/10.1186/s12894-020-00762-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Gahl, Miriam
Stöckli, Thomas
Fahrner, René
Facklamia hominis bacteremia after transurethral resection of the prostate: a case report
title Facklamia hominis bacteremia after transurethral resection of the prostate: a case report
title_full Facklamia hominis bacteremia after transurethral resection of the prostate: a case report
title_fullStr Facklamia hominis bacteremia after transurethral resection of the prostate: a case report
title_full_unstemmed Facklamia hominis bacteremia after transurethral resection of the prostate: a case report
title_short Facklamia hominis bacteremia after transurethral resection of the prostate: a case report
title_sort facklamia hominis bacteremia after transurethral resection of the prostate: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7720465/
https://www.ncbi.nlm.nih.gov/pubmed/33287796
http://dx.doi.org/10.1186/s12894-020-00762-8
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