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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Language: | English |
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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-c53b0f30f7e04254a5a0d1aab62ca94f |
institution | Kabale University |
issn | 2090-6560 2090-6579 |
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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