Open AccessEnterococcus casseliflavus,Streptococcus equinusandKlebsiella oxytocasepticaemia associated with perinephric haematoma in a post-liver transplant patient with allograft cirrhosis
Author(s) -
Rajiv Heda,
Yolanda Savage,
Satheesh Nair,
Rajanshu Verma
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-230096
Subject(s) - medicine , klebsiella oxytoca , cirrhosis , gastroenterology , enterococcus , antibiotics , klebsiella pneumoniae , microbiology and biotechnology , biology , biochemistry , escherichia coli , gene
Liver transplant recipients are immunocompromised by the virtue of being on immunosuppressive agents which put them at risk of having infections from unusual and even multiple concomitant pathogens. We present a case of a 39-year-old man who developed septicaemia with Enterococcus casseliflavus , Streptococcus equinus and Klebsiella oxytoca in the setting of perinephric haematoma which resulted following a kidney biopsy performed to evaluate his nephrotic range proteinuria. E. casseliflavus has been known to cause infections in patients with liver disease/cirrhosis; however, simultaneous infection with S. equinus and K. oxytoca along with E. casseliflavus has never been reported earlier in post-transplant state.