Bacteremia Caused byEggerthella lentain an Elderly Man with a Gastrointestinal Malignancy: A Case Report
| Autor: | Ethan Rubinstein, Davie Wong, Fred Y. Aoki |
|---|---|
| Přispěvatelé: | University of Manitoba |
| Rok vydání: | 2014 |
| Předmět: |
Microbiology (medical)
Gastrointestinal medicine.medical_specialty Article Subject medicine.drug_class Antibiotics Case Report Bacteremia Eggerthella lenta Infectious and parasitic diseases RC109-216 Malignancy Microbiology Gastroenterology Immune system Internal medicine medicine Intensive care medicine Immunocompromised Gastrointestinal malignancy business.industry bacterial infections and mycoses medicine.disease QR1-502 Metronidazole Infectious Diseases Vancomycin business medicine.drug |
| Zdroj: | Canadian Journal of Infectious Diseases and Medical Microbiology, Vol 25, Iss 5, Pp e85-e86 (2014) The Canadian Journal of Infectious Diseases & Medical Microbiology |
| ISSN: | 1712-9532 |
| Popis: | Eggerthella lenta is normally found in the digestive tract, but can cause systemic infections in patients with disrupted mucosal lining due to gastrointestinal diseases or in patients with a compromised immune system. This article describes an 86-year-old man with a systemic E lenta infection that was eventually traced to a gastrointestinal cancer. The authors highlight the high mortality rate associated with this infection and the importance of determining the source of the infection. Eggerthella lenta is an anaerobic, Gram-positive bacillus commonly found in the human digestive tract. Occasionally, it can cause life-threatening infections. Bacteremia due to this organism is always clinically significant and is associated with gastrointestinal diseases and states of immune suppression. The authors report a case involving an elderly man with a newly diagnosed gastrointestinal malignancy who developed bacteremia caused by E lenta, treated successfully using empirical therapy with vancomycin and piperacillin-tazobactam, followed by directed therapy with metronidazole once the identity and antibiotic susceptibility of the organism was established. The present case reinforces the connection between E lenta bacteremia with gastrointestinal malignancy and highlights the importance of searching for a source of bacteremia due to this organism. |
| Databáze: | OpenAIRE |
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