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Pseudomonas vesicularis bacteraemia
A M Planes1, A Ramirez, F Fernandez
1Microbiology Service, Ciutat Sanitaria Universitaria de la Vall d'Hebron, U.A.B. Passeig de la Vall d'Hebron, Barcelona, Spain.
Infection
|November 1, 1992
Summary
A rare Pseudomonas vesicularis bacteraemia case highlights treatment challenges in immunocompromised patients. Surgical intervention proved necessary when antibiotics failed to clear persistent bacterial bloodstream infections.
Area of Science:
- Infectious Diseases
- Microbiology
- Immunology
Background:
- Pseudomonas vesicularis is a rare pathogen causing bacteraemia.
- Systemic lupus erythematosus and autoimmune hepatitis are chronic conditions that can predispose patients to infections.
- Recurrent bacteraemia poses significant treatment challenges, especially in patients with underlying autoimmune diseases.
Observation:
- A 54-year-old woman experienced repeated episodes of Pseudomonas vesicularis bacteraemia.
- The patient had a history of systemic lupus erythematosus and chronic active autoimmune hepatitis.
- Initial treatment with tobramycin and ceftazidime did not resolve the bacteraemia.
Findings:
- Persistent bacteraemia despite appropriate antibiotic therapy.
- Surgical resection of infected tissue was ultimately required for successful treatment.
- This case underscores the potential for Pseudomonas vesicularis to cause refractory bloodstream infections.
Implications:
- Highlights the importance of considering surgical intervention in refractory bacteraemia cases, particularly in immunocompromised individuals.
- Suggests that underlying autoimmune conditions may complicate the management of bacterial infections.
- Emphasizes the need for a multidisciplinary approach in managing complex infectious cases.