Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia
Kocuria kristinae is a catalase-positive, coagulase-negative, Gram-positive coccus found in the environment and in normal skin and mucosa in humans; however, it is rarely isolated from clinical specimens and is considered a nonpathogenic bacterium. We describe a case of catheter-related bacteremia d...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2017/1254175 |
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| author | Masato Kimura Eichiro Kawai Hisao Yaoita Natsuko Ichinoi Osamu Sakamoto Shigeo Kure |
| author_facet | Masato Kimura Eichiro Kawai Hisao Yaoita Natsuko Ichinoi Osamu Sakamoto Shigeo Kure |
| author_sort | Masato Kimura |
| collection | DOAJ |
| description | Kocuria kristinae is a catalase-positive, coagulase-negative, Gram-positive coccus found in the environment and in normal skin and mucosa in humans; however, it is rarely isolated from clinical specimens and is considered a nonpathogenic bacterium. We describe a case of catheter-related bacteremia due to K. kristinae in a young adult with propionic acidemia undergoing periodic hemodialysis. The patient had a central venous catheter implanted for total parenteral nutrition approximately 6 months prior to the onset of symptoms because of repeated acute pancreatitis. K. kristinae was isolated from two sets of blood cultures collected from the catheter. Vancomycin followed by cefazolin for 16 days and 5-day ethanol lock therapy successfully eradicated the K. kristinae bacteremia. Although human infections with this organism appear to be rare and are sometimes considered to result from contamination, physicians should not underestimate its significance when it is isolated in clinical specimens. |
| format | Article |
| id | doaj-art-6acf934ad64441c3b9e99574f6a095a6 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-6acf934ad64441c3b9e99574f6a095a62025-02-03T01:13:00ZengWileyCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/12541751254175Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic AcidemiaMasato Kimura0Eichiro Kawai1Hisao Yaoita2Natsuko Ichinoi3Osamu Sakamoto4Shigeo Kure5Department of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8574, JapanDepartment of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8574, JapanDepartment of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8574, JapanDepartment of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8574, JapanDepartment of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8574, JapanDepartment of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8574, JapanKocuria kristinae is a catalase-positive, coagulase-negative, Gram-positive coccus found in the environment and in normal skin and mucosa in humans; however, it is rarely isolated from clinical specimens and is considered a nonpathogenic bacterium. We describe a case of catheter-related bacteremia due to K. kristinae in a young adult with propionic acidemia undergoing periodic hemodialysis. The patient had a central venous catheter implanted for total parenteral nutrition approximately 6 months prior to the onset of symptoms because of repeated acute pancreatitis. K. kristinae was isolated from two sets of blood cultures collected from the catheter. Vancomycin followed by cefazolin for 16 days and 5-day ethanol lock therapy successfully eradicated the K. kristinae bacteremia. Although human infections with this organism appear to be rare and are sometimes considered to result from contamination, physicians should not underestimate its significance when it is isolated in clinical specimens.http://dx.doi.org/10.1155/2017/1254175 |
| spellingShingle | Masato Kimura Eichiro Kawai Hisao Yaoita Natsuko Ichinoi Osamu Sakamoto Shigeo Kure Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia Case Reports in Infectious Diseases |
| title | Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia |
| title_full | Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia |
| title_fullStr | Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia |
| title_full_unstemmed | Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia |
| title_short | Central Venous Catheter-Related Bloodstream Infection with Kocuria kristinae in a Patient with Propionic Acidemia |
| title_sort | central venous catheter related bloodstream infection with kocuria kristinae in a patient with propionic acidemia |
| url | http://dx.doi.org/10.1155/2017/1254175 |
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