Bacteremia in patients with cystic fibrosis

Clinical Pediatrics
|November 1, 1980
PubMed

Insights

Bacteremia, or bloodstream infection, is reported for the first time in cystic fibrosis (CF) patients. This finding challenges the assumption of robust immunity in CF, highlighting the need for further investigation into CF bacteremia.

Area of Science:

  • Medical Microbiology
  • Pediatric Pulmonology
  • Immunology

Background:

  • Bacteremia is uncommon in cystic fibrosis (CF) patients, likely due to heightened systemic immunity associated with chronic lung infections.
  • Previous literature has not documented instances of bacteremia in individuals with CF.

Purpose of the Study:

  • To report the occurrence of bacteremia in pediatric patients diagnosed with cystic fibrosis.
  • To investigate the causative organisms and potential sources of bacteremia in CF patients.

Main Methods:

  • Case series reporting on three patients with cystic fibrosis and documented bacteremia.
  • Identification of bacterial pathogens from blood cultures and autopsy samples.
  • Assessment of patients' immune status through clinical history and laboratory data.

Main Results:

  • Two infants and one adolescent with CF presented with documented or premortem bacteremia.
  • Identified pathogens included Staphylococcus aureus, Serratia marcescens, and Pseudomonas aeruginosa, presumed to originate from the respiratory tract.
  • No evidence of primary immunodeficiency was found in the affected patients.

Conclusions:

  • This study presents the first documented cases of bacteremia in cystic fibrosis patients.
  • The findings suggest that bacteremia can occur in CF despite presumed immune activation.
  • Further research is required to determine the incidence and specific circumstances of bacteremia in CF.

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