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Published on: April 14, 2011
[A case of Paenibacillus polymyxa bacteremia in a patient with cerebral infarction]
Yoshiyuki Nasu1, Yoshitomo Nosaka, Yoshihito Otsuka
1Department of Clinical Laboratory, Noheji-municipal Hospital.
Abstract:
We report a case of Paenibacillus polymyxa bacteremia in a patient with cerebral infarction. The patient was a 93-year-old female who was admitted to our hospital. On the 4 day after admitted, she had a fever 38.2 degrees C. The result of the blood culture showed a gram positive spore bacillus in the blood culture bottle. As a result of performing 16SrDNA sequence analysis (500bp), it was a close relationship most by 99.26% P. polymlxa of coincidence was found. With a result using api 20E and api 50CH, this bacillus turned out to be P. polymyxa. The patient had a habit of weeding around her house daily. So we had to take her habit into consideration. We thought she could to get her hands injured. We assumed probably her habit might put her into high risk state of infection of this bacillus. We have supposed this bacillus might be infected with her through her blood.
Insights
A rare case of Paenibacillus polymyxa bacteremia occurred in an elderly patient with cerebral infarction. Daily gardening activities were identified as a potential risk factor for this gram-positive spore bacillus infection.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Clinical Case Study
Background:
- Bacteremia, the presence of bacteria in the bloodstream, can lead to severe complications.
- Paenibacillus polymyxa is a gram-positive spore-forming bacterium found in soil and plant matter.
- Cerebral infarction, or stroke, is a significant risk factor for infections due to impaired immune function.
Observation:
- A 93-year-old female with cerebral infarction developed a fever (38.2°C) on the fourth day of hospitalization.
- Blood cultures revealed a gram-positive spore bacillus.
- The patient had a daily habit of gardening, involving potential hand injuries.
Findings:
- 16S rRNA gene sequencing identified the bacterium as Paenibacillus polymyxa with 99.26% similarity.
- Biochemical tests using API 20E and API 50CH further confirmed the identification as Paenibacillus polymyxa.
- The patient's gardening habit was considered a likely source of inoculation, leading to bacteremia.
Implications:
- This case highlights Paenibacillus polymyxa as a potential pathogen in immunocompromised individuals.
- Occupational or recreational activities involving soil contact may increase the risk of Paenibacillus polymyxa infections.
- Awareness of environmental sources of infection is crucial for preventing bacteremia in vulnerable patients.
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