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Gram-negative septicemia caused by providencia stuartii
1Division of Pediatrics, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Abstract:
The role of urologic disease and manipulation of the genito-urinary tract in the pathogenesis of gram-negative bacteremia has been long recognized. Among these organisms, species of providencia genus have been increasingly reported. We describe a 17-year-old male paraplegic who developed septic shock due to Providencia Stuartii following urinary tract manipulation and responding to medical therapy. This is unusual as most cases with septic shock from providencia species will succumb. It is important to review this case since providencia species appear to be increasingly common in paraplegic patients.
Insights
Gram-negative bacteremia, particularly from Providencia species, is a risk in patients with urologic disease. This case highlights a rare survival of septic shock from Providencia Stuartii in a paraplegic patient following urinary tract manipulation.
Area of Science:
- Urology
- Infectious Diseases
- Microbiology
Background:
- Urologic diseases and genito-urinary tract manipulation are known risk factors for gram-negative bacteremia.
- Providencia species are increasingly implicated in these infections.
Observation:
- A 17-year-old paraplegic male developed septic shock.
- The patient's condition was attributed to Providencia Stuartii following urinary tract manipulation.
Findings:
- The patient successfully responded to medical therapy, which is unusual for septic shock caused by Providencia species.
- This case represents a rare instance of survival in severe Providencia-related sepsis.
Implications:
- Providencia species are emerging as a significant pathogen in paraplegic patients with urologic issues.
- This case underscores the importance of recognizing and managing Providencia infections in vulnerable patient populations.
- Further research into the increasing prevalence of Providencia in paraplegic patients is warranted.