A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy
We report an aggressive case of polymicrobial bacteremia in a patient with renal pelvis carcinoma. A 76-year-old man developed watery diarrhea after undergoing chemotherapy. He became unconscious and went into shock. Laboratory data showed severe neutropenia, renal failure, and lactic acidosis. Ches...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/4165960 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850225578608689152 |
|---|---|
| author | Kyoko Arahata Ryo Yamaguchi Takeshi Terashima |
| author_facet | Kyoko Arahata Ryo Yamaguchi Takeshi Terashima |
| author_sort | Kyoko Arahata |
| collection | DOAJ |
| description | We report an aggressive case of polymicrobial bacteremia in a patient with renal pelvis carcinoma. A 76-year-old man developed watery diarrhea after undergoing chemotherapy. He became unconscious and went into shock. Laboratory data showed severe neutropenia, renal failure, and lactic acidosis. Chest radiography showed multiple opacities. He died despite aggressive fluid resuscitation, catecholamine administration, antibiotic treatment, and mechanical ventilation. Blood culture isolates included Escherichia coli, Klebsiella pneumoniae, Streptococcus pneumoniae, Acinetobacter baumannii, and Moraxella catarrhalis. The foci of bacteremia were the respiratory tract and the bowel. The two infection foci and polymicrobial bacteremia are thought to be associated with the patient’s poor prognosis. Although polymicrobial bacteremia is rare, awareness of this condition and of the rare causative pathogens, such as A. baumannii and M. catarrhalis, especially in patients with comorbidities and immunosuppression will help treat the patients with bacteremia. |
| format | Article |
| id | doaj-art-58bd31fc2db14cfeab1dcfa3665c94a2 |
| institution | OA Journals |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-58bd31fc2db14cfeab1dcfa3665c94a22025-08-20T02:05:19ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/41659604165960A Case of Polymicrobial Bacteremia in a Patient Undergoing ChemotherapyKyoko Arahata0Ryo Yamaguchi1Takeshi Terashima2Department of Internal Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Internal Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa, Chiba 272-0824, JapanWe report an aggressive case of polymicrobial bacteremia in a patient with renal pelvis carcinoma. A 76-year-old man developed watery diarrhea after undergoing chemotherapy. He became unconscious and went into shock. Laboratory data showed severe neutropenia, renal failure, and lactic acidosis. Chest radiography showed multiple opacities. He died despite aggressive fluid resuscitation, catecholamine administration, antibiotic treatment, and mechanical ventilation. Blood culture isolates included Escherichia coli, Klebsiella pneumoniae, Streptococcus pneumoniae, Acinetobacter baumannii, and Moraxella catarrhalis. The foci of bacteremia were the respiratory tract and the bowel. The two infection foci and polymicrobial bacteremia are thought to be associated with the patient’s poor prognosis. Although polymicrobial bacteremia is rare, awareness of this condition and of the rare causative pathogens, such as A. baumannii and M. catarrhalis, especially in patients with comorbidities and immunosuppression will help treat the patients with bacteremia.http://dx.doi.org/10.1155/2018/4165960 |
| spellingShingle | Kyoko Arahata Ryo Yamaguchi Takeshi Terashima A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy Case Reports in Infectious Diseases |
| title | A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy |
| title_full | A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy |
| title_fullStr | A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy |
| title_full_unstemmed | A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy |
| title_short | A Case of Polymicrobial Bacteremia in a Patient Undergoing Chemotherapy |
| title_sort | case of polymicrobial bacteremia in a patient undergoing chemotherapy |
| url | http://dx.doi.org/10.1155/2018/4165960 |
| work_keys_str_mv | AT kyokoarahata acaseofpolymicrobialbacteremiainapatientundergoingchemotherapy AT ryoyamaguchi acaseofpolymicrobialbacteremiainapatientundergoingchemotherapy AT takeshiterashima acaseofpolymicrobialbacteremiainapatientundergoingchemotherapy AT kyokoarahata caseofpolymicrobialbacteremiainapatientundergoingchemotherapy AT ryoyamaguchi caseofpolymicrobialbacteremiainapatientundergoingchemotherapy AT takeshiterashima caseofpolymicrobialbacteremiainapatientundergoingchemotherapy |