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Risk and prognostic factors among patients with bacteremia due to Eggerthella lenta
Anilrudh A Venugopal1, Susanna Szpunar, Leonard B Johnson
1Division of Infectious Diseases, Department of Medicine, St. John Hospital and Medical Center, Detroit, MI, USA. anilrudh.venugopal@stjohn.org
Abstract:
Eggerthella lenta is a Gram-positive non-spore forming anaerobic commensal bacilli that can cause bacteremia due to abdominal or soft tissue sources. Patients are frequently bedridden and infection is associated with a high mortality rate. Absence of fever at presentation and need for ICU stay are risk factors for 30-day mortality.
Insights
Eggerthella lenta bacteremia, often from abdominal sources, carries a high mortality risk, particularly in bedridden patients. Key risk factors for 30-day mortality include lack of fever and ICU admission.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Eggerthella lenta is a Gram-positive, anaerobic, commensal bacterium.
- It can cause serious infections like bacteremia, often originating from abdominal or soft tissue infections.
Purpose of the Study:
- To investigate the clinical characteristics and risk factors associated with Eggerthella lenta bacteremia.
- To identify predictors of mortality in patients with this infection.
Main Methods:
- Retrospective analysis of patient data.
- Clinical data review including patient demographics, source of infection, and outcomes.
Main Results:
- Eggerthella lenta bacteremia is associated with a high mortality rate.
- Patients are often bedridden, indicating a vulnerable patient population.
- Absence of fever at presentation and the need for intensive care unit (ICU) stay are significant risk factors for 30-day mortality.
Conclusions:
- Eggerthella lenta bacteremia is a severe condition requiring prompt recognition and management.
- Clinical factors such as lack of fever and ICU admission can help identify high-risk patients needing closer monitoring and aggressive treatment to improve survival outcomes.
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