Kluyvera intermedia bacteremia with septic shock: A case report

被引：3

作者：

Inoue, Tomohiro ^{[1
,5
]}

Hadano, Yoshiro ^{[2
]}

Koga, Hitoshi ^{[1
]}

Tamehiro, Kazuhito ^{[3
]}

Sagara, Syuichirou ^{[1
]}

Tokuda, Yuuji ^{[1
]}

Urabe, Syougo ^{[1
]}

Mukasa, Kohta ^{[4
]}

Onitsuka, Kouhei ^{[1
]}

Higuchi, Masahiro ^{[1
]}

Sudo, Toshiki ^{[1
]}

Mabe, Takaaki ^{[1
]}

Toyama, Kiyosiro ^{[1
]}

Ichikawa, Aoi ^{[1
]}

Hisaka, Syunsuke ^{[1
]}

Moriya, Tomoka ^{[1
]}

Yamamoto, Miki ^{[1
]}

机构：

[1] St Marys Hosp, Emergency Ctr, Dept Emergency Med, Kurume, Japan

[2] Shimane Univ Hosp, Div Infect Control & Prevent, Izumo, Japan

[3] St Marys Hosp, Emergency Ctr, Dept Intens Care, Kurume, Japan

[4] Urasoe Gen Hosp, Emergency Ctr, Dept Emergency Med, Urasoe, Japan

[5] St Marys Hosp, Emergency Ctr, Dept Emergency Med, 422 Tsubukuhonmachi, Kurume, Fukuoka 8308543, Japan

来源：

IDCASES | 2023年 / 32卷

关键词：

Kluyvera intermedia; Septic shock; Bacteremia;

D O I：

10.1016/j.idcr.2023.e01765

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

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.

引用

页数：3

共 6 条

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