2011
DOI: 10.1007/s10156-010-0123-z
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Leuconostoc bacteremia in three patients with malignancies

Abstract: Leuconostoc is a gram-positive coccus characterized by its resistance to glycopeptide antibiotics. Generally, this bacterium is susceptible to -lactam antibiotics; however, here we present a leukemia patient who developed leuconostoc bacteremia during antimicrobial therapy with carbapenem. The appropriate choice of antibiotics with optimal doses enables leuconostoc infection to be overcome even in compromised hosts. We report 3 cases of leuconostoc bacteremia, the leukemia case which was successfully treated,… Show more

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Cited by 13 publications
(12 citation statements)
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“…Before the occurrence of Leuconostoc bacteremia, the patient had been treated with several antibiotics, especially ciprofloxacin and metronidazole, but never with vancomycin. Although Leuconostoc infections in patients with previous exposure to other antibiotics have been reported and the role of other antibacterial agents was suggested, it is not clear whether these antibiotics increased the risk of Leuconostoc bacteremia [1,14]. In patients receiving antibiotics that alter the normal gastrointestinal flora, Leuconostoc bacteria might gain access to the blood from the gastrointestinal tract.…”
Section: Discussionmentioning
confidence: 96%
“…Before the occurrence of Leuconostoc bacteremia, the patient had been treated with several antibiotics, especially ciprofloxacin and metronidazole, but never with vancomycin. Although Leuconostoc infections in patients with previous exposure to other antibiotics have been reported and the role of other antibacterial agents was suggested, it is not clear whether these antibiotics increased the risk of Leuconostoc bacteremia [1,14]. In patients receiving antibiotics that alter the normal gastrointestinal flora, Leuconostoc bacteria might gain access to the blood from the gastrointestinal tract.…”
Section: Discussionmentioning
confidence: 96%
“…Streptococceae ailesine dahil olup glikopeptidlere doğal dirençlidir (3,4). Sıklıkla çevrede, bitkilerde, bitkisel ve hayvansal kaynaklı yiyeceklerde yaygın olarak bulunurlar (1).…”
Section: Introductionunclassified
“…Sıklıkla çevrede, bitkilerde, bitkisel ve hayvansal kaynaklı yiyeceklerde yaygın olarak bulunurlar (1). İzolasyonları 1985'lere kadar patojen olarak düşünülmemiş olmakla beraber, son yıllarda özellikle immünsüprese hastalarda, damar içi kateteri olanlarda veya öncesinde vankomisin kullanımı olanlarda infeksiyon etkeni olarak kabul edilmeye başlandı (4,5). Bu infeksiyonlar arasında bakteriyemi, peritonit, plevral ampiyem ve odontojenik infeksiyonlar gibi birçok ciddi infeksiyonlar yer almaktadır (6)(7)(8)(9) …”
Section: Introductionunclassified
“…A fourth species, L. pseudomesenteroides, was considered unsuitable because of a limited body of knowledge on food and feed application and of its (rare) implication in opportunistic infections. Since 2010, a new report of three Leuconstoc infections in patients with malignancy, receiving intensive chemotherapy was published (Ishiyama et al, 2011). In none of the three cases the species was identified.…”
Section: Leuconostoc Speciesmentioning
confidence: 99%