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

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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