Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature

Leuconostoc species are vancomycin-resistant Gram-positive cocci. Infections due to Leuconostoc species have been reported in various immunocompromised patients, but little is known about such infection in patients with hematologic malignancies. We report a case of Leuconostoc infection in a 44-year...

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Main Authors: Kazuko Ino, Kazunori Nakase, Kei Suzuki, Akiko Nakamura, Atsushi Fujieda, Naoyuki Katayama
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2016/7648628
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author Kazuko Ino
Kazunori Nakase
Kei Suzuki
Akiko Nakamura
Atsushi Fujieda
Naoyuki Katayama
author_facet Kazuko Ino
Kazunori Nakase
Kei Suzuki
Akiko Nakamura
Atsushi Fujieda
Naoyuki Katayama
author_sort Kazuko Ino
collection DOAJ
description Leuconostoc species are vancomycin-resistant Gram-positive cocci. Infections due to Leuconostoc species have been reported in various immunocompromised patients, but little is known about such infection in patients with hematologic malignancies. We report a case of Leuconostoc infection in a 44-year-old woman with acute lymphoblastic leukemia. The patient developed a high fever despite antimicrobial therapy with doripenem after induction chemotherapy. After an isolate from blood cultures was identified as L. pseudomesenteroides, we changed the antibiotics to piperacillin-tazobactam and gentamicin, after which the patient recovered from the infection. Physicians should be aware of Leuconostoc species as causative pathogen if they encounter Gram-positive cocci bacteremia resistant to standard antibiotics such as vancomycin and teicoplanin, especially in patients with hematologic malignancies.
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id doaj-art-c53b0f30f7e04254a5a0d1aab62ca94f
institution Kabale University
issn 2090-6560
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-c53b0f30f7e04254a5a0d1aab62ca94f2025-02-03T01:20:12ZengWileyCase Reports in Hematology2090-65602090-65792016-01-01201610.1155/2016/76486287648628Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the LiteratureKazuko Ino0Kazunori Nakase1Kei Suzuki2Akiko Nakamura3Atsushi Fujieda4Naoyuki Katayama5Department of Hematology and Oncology, Mie University Hospital, Tsu, Mie 514-8507, JapanDepartment of Hematology and Oncology, Mie University Hospital, Tsu, Mie 514-8507, JapanDepartment of Hematology and Oncology, Mie University Hospital, Tsu, Mie 514-8507, JapanCentral Clinical Laboratories, Mie University Hospital, Tsu, Mie 514-8507, JapanDepartment of Hematology and Oncology, Mie University Hospital, Tsu, Mie 514-8507, JapanDepartment of Hematology and Oncology, Mie University Hospital, Tsu, Mie 514-8507, JapanLeuconostoc species are vancomycin-resistant Gram-positive cocci. Infections due to Leuconostoc species have been reported in various immunocompromised patients, but little is known about such infection in patients with hematologic malignancies. We report a case of Leuconostoc infection in a 44-year-old woman with acute lymphoblastic leukemia. The patient developed a high fever despite antimicrobial therapy with doripenem after induction chemotherapy. After an isolate from blood cultures was identified as L. pseudomesenteroides, we changed the antibiotics to piperacillin-tazobactam and gentamicin, after which the patient recovered from the infection. Physicians should be aware of Leuconostoc species as causative pathogen if they encounter Gram-positive cocci bacteremia resistant to standard antibiotics such as vancomycin and teicoplanin, especially in patients with hematologic malignancies.http://dx.doi.org/10.1155/2016/7648628
spellingShingle Kazuko Ino
Kazunori Nakase
Kei Suzuki
Akiko Nakamura
Atsushi Fujieda
Naoyuki Katayama
Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature
Case Reports in Hematology
title Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature
title_full Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature
title_fullStr Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature
title_full_unstemmed Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature
title_short Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature
title_sort bacteremia due to leuconostoc pseudomesenteroides in a patient with acute lymphoblastic leukemia case report and review of the literature
url http://dx.doi.org/10.1155/2016/7648628
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