Bacillus cereus : Beyond Gastroenteritis.

Autor:	Koop L; Creighton University School of Medicine, Omaha, Nebraska., Garg R; CHI Health Mercy Hospital, Council Bluffs, Iowa., Nguyen T; Department of Internal Medicine, Weill Cornell Medicine, New York, New York., Gujjula NR; Creighton University Medical Center, Omaha, Nebraska., Velagapudi M; Division of Infectious Diseases, Creighton University Medical Center, Omaha, Nebraska, ManasaVelagapudi@creighton.edu.
Jazyk:	angličtina
Zdroj:	WMJ : official publication of the State Medical Society of Wisconsin [WMJ] 2021 Jul; Vol. 120 (2), pp. 145-147.
Abstrakt:	Introduction: Bacillus cereus (B cereus) has been found within the gastrointestinal flora. Due to its ubiquity, B cereus is usually considered a contaminant. However, it can cause serious infections in certain populations. Case Presentation: A 39-year-old woman with refractory gastroparesis requiring gastric pacemaker with a jejunostomy tube and cervical cancer status post chemotherapy presented with fever and fatigue. Initial and repeat blood cultures (from peripheral and port-a-cath access) grew B cereus and the port-a-cath was removed. She was treated with appropriate antibiotics and bacteremia resolved. Discussion: B cereus is often associated with toxin-mediated emetic or diarrheal gastroenteritis. However, in patients with prosthetic devices or intravenous (IV) drug users, B cereus can cause serious infection. Biofilms produced by B cereus attach to indwelling catheters, allowing persistent infection until catheter removal. Conclusion: In patients with prosthetic devices or IV drug use, B cereus should be treated with appropriated antibiotics and any indwelling catheters should be removed. (Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.)
Databáze:	MEDLINE
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