Kluyvera intermedia bacteremia with septic shock: A case report

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-yea...

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Main Authors: Tomohiro Inoue, Yoshiro Hadano, Hitoshi Koga, Kazuhito Tamehiro, Syuichirou Sagara, Yuuji Tokuda, Syougo Urabe, Kohta Mukasa, Kouhei Onitsuka, Masahiro Higuchi, Toshiki Sudo, Takaaki Mabe, Kiyosiro Toyama, Aoi Ichikawa, Syunsuke Hisaka, Tomoka Moriya, Miki Yamamoto
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250923000896
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author Tomohiro Inoue
Yoshiro Hadano
Hitoshi Koga
Kazuhito Tamehiro
Syuichirou Sagara
Yuuji Tokuda
Syougo Urabe
Kohta Mukasa
Kouhei Onitsuka
Masahiro Higuchi
Toshiki Sudo
Takaaki Mabe
Kiyosiro Toyama
Aoi Ichikawa
Syunsuke Hisaka
Tomoka Moriya
Miki Yamamoto
author_facet Tomohiro Inoue
Yoshiro Hadano
Hitoshi Koga
Kazuhito Tamehiro
Syuichirou Sagara
Yuuji Tokuda
Syougo Urabe
Kohta Mukasa
Kouhei Onitsuka
Masahiro Higuchi
Toshiki Sudo
Takaaki Mabe
Kiyosiro Toyama
Aoi Ichikawa
Syunsuke Hisaka
Tomoka Moriya
Miki Yamamoto
author_sort Tomohiro Inoue
collection DOAJ
description 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.
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spelling doaj.art-990af4f598bf42918f2b1bf0fcab06352023-06-07T04:48:11ZengElsevierIDCases2214-25092023-01-0132e01765Kluyvera intermedia bacteremia with septic shock: A case reportTomohiro Inoue0Yoshiro Hadano1Hitoshi Koga2Kazuhito Tamehiro3Syuichirou Sagara4Yuuji Tokuda5Syougo Urabe6Kohta Mukasa7Kouhei Onitsuka8Masahiro Higuchi9Toshiki Sudo10Takaaki Mabe11Kiyosiro Toyama12Aoi Ichikawa13Syunsuke Hisaka14Tomoka Moriya15Miki Yamamoto16Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan; Correspondence to: Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, 422 Tsubukuhonmachi, Kurume-shi, Fukuoka 830-8543, Japan.Division of Infection Control and Prevention, Shimane University Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Intensive Care, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, Urasoe General Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanDepartment of Emergency Medicine, Emergency Center, St. Mary's Hospital, JapanBackground: 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.http://www.sciencedirect.com/science/article/pii/S2214250923000896Kluyvera intermediaSeptic shockBacteremia
spellingShingle Tomohiro Inoue
Yoshiro Hadano
Hitoshi Koga
Kazuhito Tamehiro
Syuichirou Sagara
Yuuji Tokuda
Syougo Urabe
Kohta Mukasa
Kouhei Onitsuka
Masahiro Higuchi
Toshiki Sudo
Takaaki Mabe
Kiyosiro Toyama
Aoi Ichikawa
Syunsuke Hisaka
Tomoka Moriya
Miki Yamamoto
Kluyvera intermedia bacteremia with septic shock: A case report
IDCases
Kluyvera intermedia
Septic shock
Bacteremia
title Kluyvera intermedia bacteremia with septic shock: A case report
title_full Kluyvera intermedia bacteremia with septic shock: A case report
title_fullStr Kluyvera intermedia bacteremia with septic shock: A case report
title_full_unstemmed Kluyvera intermedia bacteremia with septic shock: A case report
title_short Kluyvera intermedia bacteremia with septic shock: A case report
title_sort kluyvera intermedia bacteremia with septic shock a case report
topic Kluyvera intermedia
Septic shock
Bacteremia
url http://www.sciencedirect.com/science/article/pii/S2214250923000896
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