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Urinary tract infection caused by Kluyvera ascorbata in an immunocompromised patient: case report and review
Donato Torre1, Emanuela Crespi, Matteo Bernasconi
1Section of Infectious Diseases, General Hospital, Cittiglio, Varese, Italy. donatotorre@libero.it
Abstract:
We describe an immunocompromised patient, aged 78 y, with urinary tract infection caused by Kluyvera ascorbata. Complete recovery was achieved on antibiotic therapy with ceftriaxone. Review of the literature clearly indicates that K. ascorbata is a potentially dangerous pathogen either in the immunocompetent or in the immunocompromised host. K. ascorbata, and in general Kluyvera species, deserve prompt identification in order to determine antimicrobial susceptibility pattern and a correct and aggressive antibiotic treatment.
Insights
Kluyvera ascorbata can cause dangerous urinary tract infections, especially in immunocompromised patients. Prompt identification and aggressive antibiotic treatment, such as ceftriaxone, are crucial for recovery.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Urinary tract infections (UTIs) are common, but infections caused by unusual pathogens require careful consideration.
- Kluyvera species, including Kluyvera ascorbata, are increasingly recognized as potential human pathogens.
Observation:
- A case of a 78-year-old immunocompromised patient with a UTI caused by Kluyvera ascorbata is presented.
- The patient experienced a complete recovery following treatment with the antibiotic ceftriaxone.
Findings:
- Kluyvera ascorbata is identified as a significant pathogen capable of causing severe infections in both immunocompetent and immunocompromised individuals.
- Antimicrobial susceptibility testing is essential for guiding effective treatment strategies against Kluyvera species.
Implications:
- Early and accurate identification of Kluyvera species is critical for initiating appropriate and timely antimicrobial therapy.
- Clinicians should maintain a high index of suspicion for Kluyvera infections, particularly in at-risk patient populations.
- Aggressive antibiotic treatment based on susceptibility patterns can lead to favorable patient outcomes.
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