Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report

Eggerthella lenta is an anaerobic, Gram-positive bacillus commonly found in the human digestive tract. Occasionally, it can cause life-threatening infections. Bacteremia due to this organism is always clinically significant and is associated with gastrointestinal diseases and states of immune suppre...

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Main Authors: Davie Wong, Fred Aoki, Ethan Rubinstein
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2014/802481
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author Davie Wong
Fred Aoki
Ethan Rubinstein
author_facet Davie Wong
Fred Aoki
Ethan Rubinstein
author_sort Davie Wong
collection DOAJ
description Eggerthella lenta is an anaerobic, Gram-positive bacillus commonly found in the human digestive tract. Occasionally, it can cause life-threatening infections. Bacteremia due to this organism is always clinically significant and is associated with gastrointestinal diseases and states of immune suppression. The authors report a case involving an elderly man with a newly diagnosed gastrointestinal malignancy who developed bacteremia caused by E lenta, treated successfully using empirical therapy with vancomycin and piperacillin-tazobactam, followed by directed therapy with metronidazole once the identity and antibiotic susceptibility of the organism was established. The present case reinforces the connection between E lenta bacteremia with gastrointestinal malignancy and highlights the importance of searching for a source of bacteremia due to this organism.
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spelling doaj-art-6e780bc714e044dd9522ea1ff49300872025-02-03T05:44:37ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322014-01-01255e85e8610.1155/2014/802481Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case ReportDavie Wong0Fred Aoki1Ethan Rubinstein2Internal Medicine, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Infectious Diseases, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Infectious Diseases, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaEggerthella lenta is an anaerobic, Gram-positive bacillus commonly found in the human digestive tract. Occasionally, it can cause life-threatening infections. Bacteremia due to this organism is always clinically significant and is associated with gastrointestinal diseases and states of immune suppression. The authors report a case involving an elderly man with a newly diagnosed gastrointestinal malignancy who developed bacteremia caused by E lenta, treated successfully using empirical therapy with vancomycin and piperacillin-tazobactam, followed by directed therapy with metronidazole once the identity and antibiotic susceptibility of the organism was established. The present case reinforces the connection between E lenta bacteremia with gastrointestinal malignancy and highlights the importance of searching for a source of bacteremia due to this organism.http://dx.doi.org/10.1155/2014/802481
spellingShingle Davie Wong
Fred Aoki
Ethan Rubinstein
Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report
Canadian Journal of Infectious Diseases and Medical Microbiology
title Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report
title_full Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report
title_fullStr Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report
title_full_unstemmed Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report
title_short Bacteremia Caused by Eggerthella lenta in an Elderly Man with a Gastrointestinal Malignancy: A Case Report
title_sort bacteremia caused by eggerthella lenta in an elderly man with a gastrointestinal malignancy a case report
url http://dx.doi.org/10.1155/2014/802481
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AT fredaoki bacteremiacausedbyeggerthellalentainanelderlymanwithagastrointestinalmalignancyacasereport
AT ethanrubinstein bacteremiacausedbyeggerthellalentainanelderlymanwithagastrointestinalmalignancyacasereport