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Kocuria rhizophila Infection: A Case Report and Literature Review
Raquel Azevedo1, Ana Luísa Graça1, Glória Gonçalves2
1Infectious Diseases, Unidade Local de Saúde de Braga, Braga, PRT.
Insights
Kocuria rhizophila, a bacterium, can cause infections even in healthy individuals, particularly those with medical devices. This case highlights the need for clinical awareness of Kocuria species as an emerging pathogen.
Area of Science:
- Microbiology
- Infectious Diseases
Background:
- Kocuria species, once deemed opportunistic, are increasingly recognized as causative agents of infection.
- These bacteria are frequently linked to device-related infections, especially in immunocompromised individuals.
Observation:
- A 54-year-old immunocompetent woman experienced recurrent central venous catheter-related infections.
- Treatment with amoxicillin and clavulanic acid was followed by isolation of Kocuria rhizophila from blood cultures and catheter tips.
Findings:
- Kocuria rhizophila demonstrated sensitivity to all tested antibiotics.
- Complete resolution was achieved through catheter removal and antibiotic therapy.
Implications:
- This case underscores the potential for Kocuria rhizophila to cause infection in immunocompetent hosts with vascular catheters.
- Increased clinical vigilance and further research are crucial for accurate diagnosis and management of Kocuria spp. infections.
Abstract:
The Kocuria species, formerly considered opportunistic bacteria, have been described as capable of producing infection in various systems and organs, particularly among immunocompromised patients, and are associated with device-related infections. We report a 54-year-old immunocompetent woman with relapsing central venous catheter-related infection following a seven-day course of amoxicillin and clavulanic acid. Blood cultures and catheter tips grew Kocuria rhizophila. Susceptibility testing was performed and interpreted according to Staphylococcus species criteria, showing sensitivity to all tested antibiotics. Catheter removal and antibiotic treatment resulted in a complete resolution. To our knowledge, we present the eighth case report of infection by Kocuria rhizophila. Infections caused by this pathogen are usually observed in patients with a history of immunosuppression or vascular catheters. Consequently, the occurrence of Kocuria species in this context demands clinical awareness. Further studies and detailed reporting of clinical cases are essential to improve diagnostic accuracy, guide treatment decisions, and clarify the role of Kocuria spp. as an emerging pathogen.
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