Soft Tissue Infection Caused by Kluyvera Species

Darling, Stephen; Taniguchi, Lance; Erdem, Güliz; Kon, Kevin N

doi:10.1097/01.inf.0000148936.81366.62

Cited by 12 publications

(5 citation statements)

References 5 publications

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“…It has been reported that three (K. ascorbata, K. cryocrescens, K.georgiana) of the four types demonstrated until the present time cause infection in humans and the most common among these is K. ascorbata as in our patient series (8). While K. ascorbata was isolated in 11 of 19 pediatric patients in the literature and K. cryocrescens was isolated in three, typing could not be done in five (3)(4)(5)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). In Table 1, all pediatric cases in which Kluyvera infection was reported is summarized.…”

Section: Discussionmentioning

confidence: 60%

Kluyvera ascorbata infections in children: a case series

et al. 2015

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Kluyvera is a relatively newly described member of the Enterobacteriaceae family that rarely causes infections in humans. In the pediatric population, it is described in association with clinically significant infections ranging from urinary tract infections to sepsis with multiorgan failure. Our aim is to determine the clinical significance of K. ascorbata infections in the pediatric population at our institution. We retrospectively analyzed clinical microbiology data as from 2006 and identified four clinically significant isolates in this period. The isolates were from four cases who presented with sepsis, bacteremia associated with central venous catheter, pyelonephritis and intraabdominal collection. The ages of these patients ranged between seven months to 17 years. All patients received prompt antimicrobial treatment on the basis of susceptibility testing and good clinical response was obtained in all patients. Successful treatment options include third-generation cephalosporins, aminoglycosides, betalactams with beta-lactamase inhibitors and carbapenems. Clinicians should be aware of the spectrum of disease and increasing clinical importance associated with this pathogen. (Turk Pediatri Ars 2015; 50: 123-8)

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Section: Discussionmentioning

confidence: 60%

Kluyvera ascorbata infections in children: a case series

et al. 2015

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“…Although this is the first case report of a K. georgiana infection, some reported cases of a Kluyvera spp. infection did not specify the bacterial strain (6,17,18). Moreover, undiagnosed cases of K. georgiana infection are also possible.…”

Section: Discussionmentioning

confidence: 99%

<i>Kluyvera georgiana</i> Bacteremia Due to Acute Cholangitis: A Report of the First Known Case and a Literature Review

Endo,

Kanai,

Nishio

et al. 2024

Intern. Med.

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We herein present the first known case of bacteremia caused by Kluyvera georgiana in a 67-year-old female undergoing chemotherapy for recurrent pancreatic cancer. The patient underwent choledochojejunotomy and thereafter developed ascending cholangitis. The diagnosis of K. georgiana was confirmed using matrixassisted laser desorption/ionization time-of-flight mass spectrometry. A literature review of Kluyvera spp. infections indicated potential risk factors including an underlying malignancy and immunosuppression. Although Kluyvera spp. infections are typically sensitive to antibiotics, multidrug resistance is possible. This case highlights the importance of the early diagnosis and treatment of K. georgiana and its associated risk factors.

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“…It has been identified in soil, water, sewage, hospital environments and food products of animal origin; Kluyvera has been noted to cause bacteremia, soft tissue infections, intra-abdominal abscesses and urinary tract infections and may be clinically significant in a healthy host [4]. Soft tissue infections with documented Kluyvera isolates have been reported, all of which noted preceding tissue injury leading to suspected inoculation of Kluyvera bacteria [5,6]. See Table 1.…”

Section: Discussionmentioning

confidence: 99%

Polymicrobial infection with Kluyvera species secondary to pressure necrosis of the hand, a case report

Metoyer

Huff

Johnson

2019

Journal of Surgical Case Reports

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Kluyvera is a rare infection in the upper extremity. Originally identified as an opportunistic pathogen, the virulence of Kluyvera has been debated. An elderly male presented with multiple pressure sores after being found down for an unknown time period. A hand abscess bacterial culture grew Kluyvera species as part of a polymicrobial infection. Despite multiple debridements, antibiotics and wound care, his clinical course ultimately was unsatisfactory and eventually fatal.

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Soft Tissue Infection Caused by Kluyvera Species

Cited by 12 publications

References 5 publications

Kluyvera ascorbata infections in children: a case series

Kluyvera ascorbata infections in children: a case series

<i>Kluyvera georgiana</i> Bacteremia Due to Acute Cholangitis: A Report of the First Known Case and a Literature Review

Polymicrobial infection with Kluyvera species secondary to pressure necrosis of the hand, a case report

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