Open AccessClinical presentation and management of leuconostoc bacteremia in patient with prolonged ICU stay: Case report
Author(s) -
Deepali Parashar,
Manav Manchanda,
Sunil Nagar
Publication year - 2021
Publication title -
indian journal of immunology and respiratory medicine
Language(s) - English
Resource type - Journals
ISSN - 2456-012X
DOI - 10.18231/j.ijirm.2021.050
Subject(s) - medicine , bacteremia , abdominal pain , intensive care unit , sepsis , intensive care medicine , meningitis , vomiting , meropenem , surgery , antibiotics , microbiology and biotechnology , antibiotic resistance , biology
A 54 years old female came to emergency with the complaints of pain in abdomen, recurrent vomiting, abdominal distention and not able to pass flatus since two days. Patient was managed in intensive care unit and was empirically put on Meropenem and Targocid. She developed multiple episodes of loose motion, and stool culture was sent which was positive for Clostridium defficle. Therefore, patient was put on Vancomycin and Metrogyl. The blood cultures reported growth of Leuconostoc pseudomesenteroides. Infection with Leuconostoc may cause fever, intravenous catheter-related sepsis, bacteremia, abdominal pain, gastroenteritis, colitis or meningitis. To summarize this rare organism which is most commonly seen in immunocompromised patients, was isolated in a previously healthy individual, post Vancomycin therapy with prolonged ICU stays.