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Unveiling an Unusual Organism: Catheter-Related Bloodstream Infection Due to Acinetobacter lwoffii
Arundhati Diwan1, Sujata Khatal1, Rohan Kelkar1
1Internal Medicine, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, IND.
Abstract:
Catheter-related bloodstream infections (CRBSIs) are serious complications in patients requiring long-term intravascular catheterization, particularly in immunocompromised individuals. Acinetobacter lwoffii, a low-virulence, non-fermentative gram-negative bacillus, is an uncommon cause of CRBSI. We report the case of a 43-year-old female patient on long-term hemodialysis who developed A. lwoffii-associated CRBSI. This case highlights the diagnostic challenges, management strategies, and importance of early intervention in infections caused by A. lwoffii.
Insights
Catheter-related bloodstream infections (CRBSIs) can be serious, even from uncommon bacteria like Acinetobacter lwoffii. Early diagnosis and intervention are crucial for managing these challenging infections in patients with long-term catheters.
Area of Science:
- Infectious Diseases
- Microbiology
- Nephrology
Background:
- Catheter-related bloodstream infections (CRBSIs) pose significant risks, especially for immunocompromised patients requiring long-term intravascular access.
- Acinetobacter lwoffii, a gram-negative bacillus, is an infrequent pathogen implicated in CRBSI, often associated with lower virulence.
Observation:
- A case report details a 43-year-old female undergoing long-term hemodialysis who developed a CRBSI.
- The infection was specifically attributed to Acinetobacter lwoffii, presenting diagnostic and therapeutic challenges.
Findings:
- The case underscores the potential for Acinetobacter lwoffii to cause CRBSI, despite its generally low virulence.
- Effective management required addressing the specific challenges posed by this uncommon pathogen.
Implications:
- This case emphasizes the need for heightened awareness and diagnostic vigilance for Acinetobacter lwoffii in CRBSI cases.
- Early and appropriate intervention strategies are critical for successful treatment outcomes in patients with Acinetobacter lwoffii-associated CRBSI.
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