tailieunhanh - Báo cáo y học: "Multidrug resistant Kluyvera ascorbata septicemia in an adult patient: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Multidrug resistant Kluyvera ascorbata septicemia in an adult patient: a case report. | Moonah et al. Journal of Medical Case Reports 2010 4 197 http content 4 1 197 Ws CASE REPORTS CASE REPORT Open Access Multidrug resistant Kluyvera ascorbata septicemia in an adult patient a case report Shannon Moonah Kavita Deonarine and Clyde Freeman Abstract Introduction Kluyveraascorbata has become increasingly significant due to its potential to cause a wide range of infections as well as its ability to transfer gene encoding for CTX-M- type extended spectrum B-lactamases ESBLs to other Enterobacteriaceae. Case presentation We report the case of a 64-year-old African-American male diagnosed with severe sepsis due to a multidrug resistant Kluyveraascorbata which was isolated from his blood. He was treated with meropenem and had a favorable outcome. Conclusion To the best of our knowledge this is the first case report of a multidrug resistant Kluyvera ascorbata isolated from the blood in an adult patient with sepsis. Introduction Kluyvera ascorbata is a gram negative microorganism belonging to the family Enterobacteriaceae. Although it causes infections infrequently it is responsible for causing a wide range of infections including severe sepsis 1 2 . It is believed to be the source of genes encoding CTX-M-type extended spectrum B-lactamases ESBLs and it has the ability to transfer these genes to other Enterobacteriacae 3 . Only three cases of K. ascorbata isolated from the blood of adult patients have been reported 4-6 . We report what we believe to be the first case of a multidrug resistant K. ascorbata isolated from the blood of an adult patient with sepsis. Case presentation A 64-year-old African-American man with a past medical history of hypertension type 2 diabetes mellitus bilateral above knee amputation prostate cancer post radical prostatectomy in 1999 quadraparesis secondary to cervical spine fracture of C4 neurogenic bladder with an indwelling suprapubic catheter and recurrent urinary tract infections was

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