Antimicrobial treatment of <i>Kocuria kristinae</i> invasive infections: Systematic review

Zarić, Radica S Živković; Pejčić, Ana V; Janković, Slobodan M.; Kostić, Marina; Milosavljević, Miloš N.; Opančina, Valentina

doi:10.1080/1120009x.2018.1542551

Cited by 22 publications

(12 citation statements)

References 28 publications

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“…In humans, it inhabits the skin and oral mucosa, and it can cause bloodstream infection in immunocompromised individuals, but also in some instances, in immunocompetent human patients of any age 6 . In a review, the pathogen was susceptible to vancomycin, linezolid, rifampicin, teicoplanin, tigecycline, cefotaxime, ampicillin/sulbactam, minocycline and meropenem, while resistant to penicillin, gentamycin and erythromycin 7 . In that case, long‐term medical treatment with azithromycin was successful.…”

Section: Discussionmentioning

confidence: 99%

Reproductive tract infection caused by Kocuria kristinae in an entire female sugar glider (Petaurus breviceps)

Bassan

Cobos

Mallol

et al. 2022

Vet Record Case Reports

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The presence of a cloaca in the reproductive tract of marsupials may predispose them to ascending infections. A 7-year-old, entire, female sugar glider presented with abdominal swelling. Whole-body radiographs and abdominal ultrasound revealed a mass in the abdomen. Initial treatment included meloxicam, buprenorphine and subcutaneous fluids. Abdominal exploratory surgery revealed a severe purulent distention of the reproductive tract with multiple adhesions to the intestines, both ureters, urinary bladder and spleen. Because reproductive tissue removal was not feasible, an incision in the mass was performed, the pus aspirated and it was flushed with saline. A biopsy of the affected tissue was indicative of chronic suppurative endometritis. The microbiological culture and biochemical characterisation revealed Kocuria kristinae. The animal was discharged with azithromycin for 1 month and there were no complications over the ensuing 9-month period. This pathogen should be considered in the differential diagnosis of reproductive tract infections in female sugar gliders.

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Section: Discussionmentioning

confidence: 99%

Reproductive tract infection caused by Kocuria kristinae in an entire female sugar glider (Petaurus breviceps)

Bassan

Cobos

Mallol

et al. 2022

Vet Record Case Reports

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“…Kocuria species are often sensitive to vancomycin, linezolid, rifampicin, teicoplanin, cefotaxime, ampicillin/sulbactam, minocycline, and meropenem. Initial treatment of Kocuria infections should involve parenteral vancomycin in combination with another antibiotic to which the organism is susceptible 25 …”

Section: Discussionmentioning

confidence: 99%

“…Initial treatment of Kocuria infections should involve parenteral vancomycin in combination with another antibiotic to which the organism is susceptible. 25 …”

Section: Discussionmentioning

confidence: 99%

Atypical pathogens associated with cardiac implantable electronic device infections

Kohli

Hazra

Ahmed

et al. 2021

Pacing Clinical Electrophis

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Background Cardiovascular implantable electronic device (CIED) infections are associated with significant morbidity and mortality making the identification of the causative organism critical. The vast majority of CIED infections are caused by Staphylococcal species. CIED infections associated with atypical pathogens are rare and have not been systematically investigated. The objective of this study is to characterize the clinical course, management and outcome in patients with CIED infection secondary to atypical pathogens. Methods Medical records of all patients who underwent CIED system extraction at the University of Chicago Medical Center between January 2010 and November 2020 were retrospectively reviewed to identify patients with CIED infection. Demographic, clinical, infection‐related and outcome data were collected. CIED infections were divided into typical and atypical groups based on the pathogens isolated. Results Among 356 CIED extraction procedures, 130 (37%) were performed for CIED infection. Atypical pathogens were found in 5.4% (n = 7) and included Pantoea species (n = 2), Kocuria species (n = 1), Cutibacterium acnes (n = 1), Corynebacterium tuberculostearicum (n = 1), Corynebacterium striatum (n = 1), Stenotrophomonas maltophilia (n = 1), and Pseudozyma ahidis (n = 1). All patients with atypical CIED infections were successfully treated with total system removal and tailored antibiotic therapy. There were no infection‐related deaths. Conclusions CIED infections with atypical pathogens were rare and associated with good outcome if diagnosed early and treated with total system removal and tailored antimicrobial therapy. Atypical pathogens cultured from blood, tissue or hardware in patients with CIED infection should be considered pathogens and not contaminants.

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“…Although, misidentification of Coagulase-negative Staphylococcus as Kocuria spp. with the Vitek system has been reported with an early version of this phenotype-based system, the enhanced versions in the form of Vitek-2 are not prone to error [ 5 ]. Boudewijns et al .…”

Section: Discussionmentioning

confidence: 99%

Rare case report of infective endocarditis due to Kocuria kristinae in a patient with ventricular septal defect

Ali

Waseem

Arif

2020

Access Microbiology

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Background. Infective endocarditis (IE) is an uncommon but life-threatening infection. It is commonly associated with diseased or damaged valves. Patients with congenital heart disease are more prone to getting IE than the general population. The typical organisms that cause IE include Staphylococcus , Coagulase-negative Staphylococcus, Streptococcus viridians and Enterococci. However, the importance of rare micro-organisms like Kocuria kristinae should not be underestimated especially when isolated from multiple blood cultures in patients suspected of IE. Case presentation. We report a rare case of right-sided infective endocarditis due to K. kristinae in a young non-diabetic, non-addict female of low socioeconomic class who presented with undiagnosed fever for 1 year. She was investigated and treated for fever by several general practitioners without relief. Later on, she was diagnosed by a local cardiologist to have perimembranous ventricular septal defect with a small pulmonary valve vegetation. She was referred to a tertiary care cardiac hospital in Rawalpindi, Pakistan for further management. Transthoracic and transesophageal echocardiography confirmed IE secondary to preexisting congenital heart disease complicated with a small pulmonary vegetation. Her blood cultures yielded growth of K. kristanae, a rare micro-organism to cause IE. The patient responded to the antibiotic therapy. Conclusion. Clinicians should have a high index of suspicion for K. kristanae IE as a possible cause of a prolonged fever especially in the presence of congenital heart disease. Antibiotic susceptibility is required for adequate therapy.

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Antimicrobial treatment of Kocuria kristinae invasive infections: Systematic review

Cited by 22 publications

References 28 publications

Reproductive tract infection caused by Kocuria kristinae in an entire female sugar glider (Petaurus breviceps)

Reproductive tract infection caused by Kocuria kristinae in an entire female sugar glider (Petaurus breviceps)

Atypical pathogens associated with cardiac implantable electronic device infections

Rare case report of infective endocarditis due to Kocuria kristinae in a patient with ventricular septal defect

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