Hepatic failure with Providencia rettgeri infection: case report

Providencia rettgeri is an uncommon opportunistic pathogen of nosocomial infection in humans. It often occurs in urinary tract infection and skin damage. Few reports have revealed providencia rettgeri infection in hepatic failure patients. A 29-year-old man admitted to our hospital with a crushing injury caused by a falling object in a construction site, which caused hepatorrhexis and hepatic failure. During the therapy period in the infectious intensive care unit (IICU), the patient was given tracheal intubation to support breathing. Providencia rettgeri was cultured positive in bronchoalveolar lavage fluid (BALF) upon fiber bronchoscopy. Providencia rettgeri is associated with the patient's terrible health conditions, for example, huge postoperative complication, large area skin burn, liver failure, etc. Few patients assisted with ventilation are infected with providencia rettgeri. Due to the pathogen's character of antimicrobial resistance, infection with providencia rettgeri raises mortality and prolongs recovery time. Thereafter, great attention should be paid to those patients in their recovery period.