Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature
Clinical disease caused by Empedobacter brevis (E. brevis) is very rare. We report the first case of E. brevis bacteremia in a patient with HIV and review the current literature. A 69-year-old man with human immunodeficiency virus (HIV) and CD4 count of 319 presented with chief complaints of black t...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2015/813528 |
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| author | Syed Bokhari Naeem Abbas Manisha Singh Richard B. Cindrich Cosmina Zeana |
| author_facet | Syed Bokhari Naeem Abbas Manisha Singh Richard B. Cindrich Cosmina Zeana |
| author_sort | Syed Bokhari |
| collection | DOAJ |
| description | Clinical disease caused by Empedobacter brevis (E. brevis) is very rare. We report the first case of E. brevis bacteremia in a patient with HIV and review the current literature. A 69-year-old man with human immunodeficiency virus (HIV) and CD4 count of 319 presented with chief complaints of black tarry stools, nausea and vomiting for 2 days. Physical exam was significant for abdominal pain on palpation with no rebound or guarding. His total leukocyte count was 32,000 cells/μL with 82% neutrophils and 9% bands. Emergent colonoscopy and endoscopic esophagogastroduodenoscopy showed esophageal candidiasis, a nonbleeding gastric ulcer, and diverticulosis. Blood cultures drawn on days 1, 2, and 3 of hospitalization grew E. brevis. Patient improved with intravenous antibiotics. This case is unusual, raising the possibility of gastrointestinal colonization as a source of the patient’s bacteremia. In conclusion, E. brevis is an emerging pathogen that can cause serious health care associated infections. |
| format | Article |
| id | doaj-art-cdb49eac72db4a91837fec377530b65c |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-cdb49eac72db4a91837fec377530b65c2025-02-03T01:07:31ZengWileyCase Reports in Infectious Diseases2090-66252090-66332015-01-01201510.1155/2015/813528813528Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of LiteratureSyed Bokhari0Naeem Abbas1Manisha Singh2Richard B. Cindrich3Cosmina Zeana4Division of Infectious Diseases, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USADivision of Infectious Diseases, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USADivision of Infectious Diseases, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USADivision of Infectious Diseases, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USADivision of Infectious Diseases, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USAClinical disease caused by Empedobacter brevis (E. brevis) is very rare. We report the first case of E. brevis bacteremia in a patient with HIV and review the current literature. A 69-year-old man with human immunodeficiency virus (HIV) and CD4 count of 319 presented with chief complaints of black tarry stools, nausea and vomiting for 2 days. Physical exam was significant for abdominal pain on palpation with no rebound or guarding. His total leukocyte count was 32,000 cells/μL with 82% neutrophils and 9% bands. Emergent colonoscopy and endoscopic esophagogastroduodenoscopy showed esophageal candidiasis, a nonbleeding gastric ulcer, and diverticulosis. Blood cultures drawn on days 1, 2, and 3 of hospitalization grew E. brevis. Patient improved with intravenous antibiotics. This case is unusual, raising the possibility of gastrointestinal colonization as a source of the patient’s bacteremia. In conclusion, E. brevis is an emerging pathogen that can cause serious health care associated infections.http://dx.doi.org/10.1155/2015/813528 |
| spellingShingle | Syed Bokhari Naeem Abbas Manisha Singh Richard B. Cindrich Cosmina Zeana Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature Case Reports in Infectious Diseases |
| title | Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature |
| title_full | Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature |
| title_fullStr | Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature |
| title_full_unstemmed | Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature |
| title_short | Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature |
| title_sort | empedobacter brevis bacteremia in a patient infected with hiv case report and review of literature |
| url | http://dx.doi.org/10.1155/2015/813528 |
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