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Parvimonas micra Bacteremia: A Rare Complication After Esophagogastroduodenoscopy for Upper Gastrointestinal Bleeding

Hasan S Raza1, James S Love1, Adam E Mikolajczyk1,2

  • 1Department of Medicine, University of Illinois, Chicago, IL.

ACG Case Reports Journal
|June 10, 2024
PubMed

Insights

Parvimonas micra bacteremia is rare, typically linked to periodontal disease or cancer. This case highlights a unique instance without these risks, suggesting gut translocation during gastrointestinal bleeding as a cause.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Case Study

Background:

  • Parvimonas micra bacteremia is an uncommon clinical finding.
  • It is frequently associated with underlying periodontal disease or colorectal carcinoma.
  • Prompt identification and treatment are crucial for patient outcomes.

Observation:

  • This report details a rare case of Parvimonas micra bacteremia.
  • The patient lacked the typical predisposing risk factors such as periodontal disease or colorectal cancer.
  • The bacteremia occurred in the context of an acute upper gastrointestinal bleed.

Findings:

  • The study proposes translocation across an impaired gut-blood barrier as the mechanism for P. micra bacteremia in this case.
  • This challenges the conventional understanding of risk factors for this specific infection.
  • The findings underscore the potential for P. micra to enter the bloodstream through alternative pathways.

Implications:

  • This case expands the known spectrum of conditions leading to Parvimonas micra bacteremia.
  • It emphasizes the need for considering gastrointestinal sources in unexplained bacteremia.
  • Recognizing and treating P. micra bacteremia can prevent serious complications and improve patient prognosis.
Keywords:
Parvimonas micrabacteremiaendoscopygastrointestinal tract

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