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Recurrent O chrobactrum anthropi and S hewanella putrefaciens bloodstream infection complicating hemodialysis
Author(s) -
Shrishrimal Kumarpal
Publication year - 2012
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2011.00586.x
Subject(s) - hemodialysis , bacilli , medicine , shewanella putrefaciens , gram negative bacterial infections , microbiology and biotechnology , bloodstream infection , bacteria , intensive care medicine , biology , surgery , antibiotics , genetics
Bloodstream infections ( BSIs ) are common in hemodialysis, especially when the access is a catheter. These infections are more commonly gram‐positive bacteria or gram‐negative bacilli and on some occasions, fungi. O chrobactrum anthropi and S hewanella putrefaciens are ubiquitous hydrophilic gram‐negative bacilli. There have been three cases of O . anthropi BSI reported in hemodialysis patients (one from the U nited S tates and two from V ienna) and two cases of S . putrefaciens BSI in hemodialysis patients (one from the U nited S tates and the other from J apan). There have been few more cases reported of infections with these bacteria in peritoneal dialysis, especially outside the U nited S tates. We present a novel case of a patient with both recurrent O . anthropi and S . putrefaciens BSI complicating hemodialysis. There have been no reports in the literature of such a case. We also discuss the microbiology, clinical features, and the challenging aspects of treatment of such infections.