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Peritonitis due to Kluyvera ascorbata: case report and review.

R Yogev1, S Kozlowski

  • 1Department of Pediatrics, Northwestern University Medical School, Chicago, Illinois.

Reviews of Infectious Diseases
|May 1, 1990
PubMed
Summary

Kluyvera ascorbata, a bacterium previously of unknown clinical significance, can be a dangerous pathogen. This study highlights its potential to cause severe infections like peritonitis, even in otherwise healthy individuals.

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Area of Science:

  • Microbiology
  • Clinical Medicine
  • Infectious Diseases

Background:

  • Kluyvera, a genus within the Enterobacteriaceae family, was previously classified as enteric group 8 or API group 1.
  • While Kluyvera species have been identified in various clinical samples (sputum, urine, stool, blood), their clinical importance remains largely unestablished.

Observation:

  • A case study involving a child who developed peritonitis caused by Kluyvera ascorbata.
  • The organism was repeatedly isolated in pure culture from peritoneal fluid and found in postmortem subdiaphragmatic microabscesses.

Findings:

  • The clinical presentation and isolation of Kluyvera ascorbata suggest it can be a clinically significant pathogen.
  • A literature review confirms that Kluyvera strains, though infrequent, pose a potential danger to human health.

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Implications:

  • These findings indicate that Kluyvera species should be recognized as potentially dangerous pathogens.
  • Further research is necessary to establish effective therapeutic strategies and determine the in vitro antibiotic sensitivities for treating Kluyvera infections.