Descending necrotizing Mediastinitis caused by Kocuria rosea: a case report

Abstract

BackgroundKocuria species are gram-positive, non-pathogenic commensals. However, in immunocompromised patients such as transplant recipients, cancer patients, or patients with chronic medical conditions, they can cause opportunistic infections.Case presentationWe report the first case of descending necrotizing mediastinitis in a 58-year-old, relatively healthy woman caused by Kocuria rosea.ConclusionDescending necrotizing mediastinitis due to Kocuria rosea can be successfully treated with prompt surgical drainage combined with antimicrobial therapy.

Pneumonia by Kocuria rosea: case report and literature review

“…There are few reports regarding infection caused by the genus Kocuria in humans; this microorganism has become isolated more frequently since the end of the 20th century, and its frequency has been increasing during the last 10 years (2). Kocuria has been associated with infections (3) of the urinary tract, cholecystitis (4), catheter-associated bacteraemia (5), dacryocystitis (6), canaliculitis, keratitis 7, native valve endocarditis (8), peritonitis, descending necrotizing mediastinitis (9), brain abscess and meningitis (10). Such infections are frequently underdiagnosed due to medical consideration that this type of microorganism is mainly colonising, despite of the patient having clinical features of infection.…”

Isolated Mediastinal Kocuria rosea Infection Mimicking Malignancies

“…In addition, strains identified as Micrococcus spp. have been reported recently in infections associated with indwelling intravenous lines, continuous ambulatory peritoneal dialysis fluids, ventricular shunts and prothetic valves [2][3][4][5]. Our case of Kocuria infection is interesting as its unusual presentation made the diagnosis of Kocuria rosea infection very difficult to consider at all.…”

“…Although generally regarded as harmless saprophytes that inhabit or colonize skin and oropharynx mucosa this aerobic, non-encapsulated, nonmotile bacteria can cause opportunistic infection in the immunocompromised host [3]. Infections such as endocarditis, arthritis, central nervous system infection, pneumonia, peritonitis, hepatic abscess and nosocomial blood stream infections have all being reported [2][3][4]. In addition, strains identified as Micrococcus spp.…”

Identification and Phylogenetic Profiling of Bacterial Populations in Perna perna L.

“…The present study identified seven out of 18 species of Kocuria known 24,25 . K. rosea and K. varians have been implicated in infective endocarditis, catheterrelated bacteremia, peritonitis, necrotizing mediastinitis, arthritis, central nervous system infection, pneumonia, hepatic abscess and nosocomial bloodstream infections [26][27][28][29] . In general, Kocuria is a human pathogen, causing diseases mostly in immunocompromised hosts.…”