Catheter-related bacteremia due to Kocuria rosea in a patient undergoing peripheral blood stem cell transplantation

Altuntaş, Fevzi; Yıldız, Orhan; Eser, Bülent; Gündoğan, Kürşat; Sümerkan, Bülent; Çetın, Mustafa

doi:10.1186/1471-2334-4-62

Cited by 84 publications

(64 citation statements)

References 15 publications

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“…Among the recently established genus Kocuria, documented human cases of infections are limited. The type species K. rosea has been reported to cause catheterrelated bacteremia (2). Another member of the genus, K. kristinae, has also been reported to cause a catheter-related bacteremia in patients with ovarian cancer (3) or acute cholecystitis (14).…”

Section: Originally Deposited As Sarcina Lutea and Later Redesimentioning

confidence: 99%

Persistent Bloodstream Infection with Kocuria rhizophila Related to a Damaged Central Catheter

et al. 2012

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A case of persistent bloodstream infection with Kocuria rhizophila related to a damaged central venous catheter in a 3-year-old girl with Hirschsprung's disease is reported. The strain was identified as K. rhizophila by 16S rRNA gene sequencing and matrixassisted laser desorption ionization-time of flight mass spectrometry. Arbitrarily primed PCR analysis showed a clonal strain. The repeated septic episodes were resolved with the catheter repair. CASE REPORT

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Section: Originally Deposited As Sarcina Lutea and Later Redesimentioning

confidence: 99%

Persistent Bloodstream Infection with Kocuria rhizophila Related to a Damaged Central Catheter

et al. 2012

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“…Forma parte de la microbiota normal de la piel, boca y orofaringe de los seres humanos y otros mamíferos por lo que se la considera como una bacteria saprófita. Sin embargo, ante determinadas circunstancias puede actuar como un microorganismo oportunista en sujetos inmunocomprometidos 3,4 . Lai y cols., analizaron las características clínicas de cinco pacientes con hemocultivos positivos para Kocuria spp.…”

Section: Discussionunclassified

“…En la radiografía de tórax se observaba un infiltrado intersticio-alveolar micronodulillar bilateral. El laboratorio de ingreso mostró discreta anemia, VHS acelerada (97 mm 1 a hora), leucocitos: 9800/mm 3 , función renal y hepática normal, saturación de oxígeno 89%, LDH 1049 U/L. El recuento de linfocitos T CD4 + fue < de 50 céls/mm 3 .…”

Section: Caso Clínicounclassified

“…En la literatura médica sólo existen escasas comunicaciones de pacientes inmunocomprometidos con infecciones asociadas con catéteres vasculares, bacteriemia y colecistitis aguda en los que se identificó a especies de Kocuria como agentes causales 3,4 . Presentamos el caso de un paciente con infección por VIH que desarrolló una bacteriemia por K. rosea asistido en el Hospital de Referencia para Enfermedades Infecciosas F. J. Muñiz de la ciudad de Buenos Aires.…”

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Bacteriemia por Kocuria rosea en un paciente con SIDA

Corti

Villafañe²,

Soto

et al. 2012

Rev. chil. infectol.

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“…Documented cases of infections due to Kocuria species are limited. The type species, Kocuria rosea has been reported to cause catheter-related bacteremia 2 . Another member of the genus, Kocuria kristinae, has also been reported to cause a catheter-related bacteremia in patients with ovarian cancer 3 .…”

Section: IImentioning

confidence: 99%

Bacteremia due to Kocuria rosea in a HIV positive patient with low CD4 count: A case report

Sahoo¹,

Sharma²,

Naorem³

et al. 2014

IOSRJPBS

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Introduction: Gender Kocuria includes 11 species, of which to date only K. rosea varians K. and K. kristinae, are pathogenic, although infrequently cause disease in immunocompromised patient Materials and Methods: The blood sample was collected from the patient and inoculated into the BrainHeart infusion biphasic media and after positive growth it was subjected to phenotypic identified by Vitek-2. Objectives: To detect the presence of systemic blood stream infection in the immunocompromised patient.Results: There was positive growth on the Brain Heart biphasic media and then when it was subjected to Vitek-2 it was found to be Kocuria rosea with 97% probability and excellent identification confidence Conclusions:The present case signifies the importance of Kocuria rosea as a important cause of bacteremia in immunocompromised patients though it is very rare. Keywords: Blood stream infection, immunocompromised, bacteremia I.Case report:A 42 yr old HIV positive male on 2 nd line ART with present CD 4 cell count of 62 cells/µl on the date of examination presented with fever and weakness of all the four limbs and oral lesions in the out patient dept of Regional Institute of Medical Sciences Hospital, Imphal following which he was admitted for further investigations and treatment. He was confirmed as HIV positive 8 months back. The patient had non productive cough for one year with weight loss and white patchy oral lesions. All other examinations conducted revealed normal clinical parameters. There was no other major complaints suggestive of pulmonary, cardiovascular, gastrointestinal, genitourinary systems involvement. Patient is neither hypertensive nor diabetic. 5ml of venous blood from antecubital vein was collected under strict aseptical precautions by the use of both rectified spirit and povidone iodine and was cultured on brain heart infusion biphasic media. Subculture was done on alternate days from the BHI biphasic media by tilting of the bottle and to see for any growth. On the fifth day salmon pink coloured growth was observed on the slant and increase in turbidity in the broth (Fig.1) following which it was subcultured on 5% sheep blood agar and Mac Conkey agar. The plates were incubated at 35°C for 48 h. On blood agar the colony was smooth, shiny, circular, entire and pink and non hemolytic. (Fig.2) There was no growth on Mac Conkey . On further examination of the growth on blood agar it, was found to be gram positive cocci arranged in tetrads on gram staining (Fig.3), non acid fast, were non-hemolytic on blood agar, catalase positive, coagulase negative, oxidase negative, urease negative, bile insoluble, lactose and mannitol not fermented and were non motile. Further identification was performed using the Biomerieux Vitek 2 system (GPI card) in which the organism was identified as Kocuria rosea with excellent identification confidence level and 97% probability; however, the alternative means of identification 16s rRNA sequencing was not performed. Culture of the oral swab from the whitish oral l...

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Catheter-related bacteremia due to Kocuria rosea in a patient undergoing peripheral blood stem cell transplantation

Cited by 84 publications

References 15 publications

Persistent Bloodstream Infection with Kocuria rhizophila Related to a Damaged Central Catheter

Persistent Bloodstream Infection with Kocuria rhizophila Related to a Damaged Central Catheter

Bacteriemia por Kocuria rosea en un paciente con SIDA

Bacteremia due to Kocuria rosea in a HIV positive patient with low CD4 count: A case report

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