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Kluyvera co‐infection in two solid organ transplant recipients: an emerging pathogen or a colonizer bystander?
Author(s) -
Cheruvattath R.,
Balan V.,
Stewart R.,
Heilman R.L.,
Mulligan D.C.,
Kusne S.
Publication year - 2007
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2006.00198.x
Subject(s) - medicine , microbiology and biotechnology , pathogen , transplantation , immunology , biology
Abstract:Kluyvera species are opportunistic, gram‐negative bacilli in the family Enterobacteriaceae. Ordinarily occurring as a commensal, Kluyvera have been reported to cause serious infections in immunosuppressed and immunocompetent hosts, causing diarrhea, urinary infections, peritonitis, and cholecystitis. We report Kluyvera infections in 2 solid organ transplant recipients. An 18‐year‐old female with alpha‐1 antitrypsin deficiency underwent living donor liver transplantation and presented 6 months later with a liver abscess. The abscess aspirate grew mixed organisms including Kluyvera cryocrescens . A 22‐year‐old female with renal failure secondary to focal segmental glomerulosclerosis underwent a deceased donor kidney transplant and presented 3 months later with pyelonephritis; the urine culture grew Kluyvera ascorbata . Both patients improved only when their antibiotic coverage was broadened to include Kluyvera . The isolation of Kluyvera as a pathogen in transplant patients emphasizes that this commensal organism may be virulent in this patient population.