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Gram-negative septicemia caused by providencia stuartii
1Division of Pediatrics, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
The International Journal of Pediatric Nephrology
|April 1, 1987
Summary
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.