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Kluyvera intermedia bacteremia with septic shock: A case report
Tomohiro Inoue1, Yoshiro Hadano2, Hitoshi Koga1
1Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan.
Background:
Kluyvera intermedia is a bacterium indigenous to humans. But Kluyvera intermedia bacteremia has been not reported thus far. We report a case of Kluyvera intermedia bacteremia with septic shock due to left obstructive pyelonephritis as a result of urolithiasis.
Case Presentation:
A 66-year-old woman with septic shock due to left obstructive pyelonephritis was transferred to our hospital. Tazobactam/Piperacillin 4.5 g was administered every 8 h for 5 days. The patient's condition improved, and she was transferred back to the previous hospital. Kluyvera intermedia was obtained by blood cultures. The patient was successfully treated with a two-week course of antibiotics.
Conclusions:
We describe the first case of bacteremia with septic shock caused by Kluyvera intermedia. Kluyvera intermedia can be a causative pathogen of septic shock. Since this bacterium has not been reported in the past, we expect further reports and the accumulation of cases in the future.
Insights
This study reports the first case of Kluyvera intermedia bacteremia leading to septic shock in a patient with obstructive pyelonephritis. Prompt antibiotic treatment proved effective, highlighting this bacterium as a potential cause of severe infections.
Area of Science:
- Infectious Diseases
- Microbiology
- Clinical Medicine
Background:
- Kluyvera intermedia is a human commensal bacterium.
- Bacteremia caused by Kluyvera intermedia has not been previously documented.
- This case highlights a rare but serious clinical presentation.
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