Gram-negative sepsis caused by a rare pathogen Phytobacter ursingii .

Autor:	Choice S; Internal Medicine, UI Carver College of Medicine, Iowa City, Iowa, USA choice@uiowa.edu., Sherman A; Department of Internal Medicine, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Holder K; Department of Internal Medicine, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Harrington E; Infectious Diseases, UI Carver College of Medicine, Iowa City, Iowa, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Apr 16; Vol. 17 (4). Date of Electronic Publication: 2024 Apr 16.
DOI:	10.1136/bcr-2023-258384
Abstrakt:	This case reviews the clinical course of an elderly woman on chronic total parenteral nutrition who developed sepsis secondary to a rare, newly described gram-negative rod known as Phytobacter ursingii The patient noticed a leak in her Hickman catheter when infusing her nutrition. 24 hours after a new catheter was replaced, the patient developed fevers, chills and weakness. She presented to the hospital with hypotension and tachycardia, meeting shock criteria. Blood cultures grew P. ursingii, and the diagnosis of septic shock was confirmed. Susceptibilities informed antibiotic coverage, and she ultimately improved within the next 48 hours. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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