Bacillus Cereus catheter related bloodstream infection in a patient in a patient with acute lymphblastic leukemia

Lütfiye Öksüz, N Gurler, M Muftuoglu, FD Sargin, SK Besisik
  • N Gurler
    ", Oksuz L, , , ",
  • M Muftuoglu
    Affiliation not present
  • FD Sargin
    Affiliation not present
  • SK Besisik
    Affiliation not present

Abstract

Bacillus cereus infection is rarely associated with actual infection and for this reason single positive blood culture is usually regarded as contamination . However it may cause a number of infections, such catheter-related blood stream infections. Significant catheter-related bloodstream infections (CRBSI) caused by Bacillus spp. are mainly due to B.cereus and have been predominantly reported in immunocompromised hosts1 . Catheter removal is generally advised for management of infection. In this report, catheter-related bacteremia caused by B.cereus in a patient with acute lymphoblastıc leukemia (ALL) in Istanbul Medical Faculty was presented.A 44-year old man presented with fatigue, weight loss, epistaxis and high fever. A double-lumen Hickman–catheter (Bard 12.0 Fr, Round Dual Lumen) was inserted by surgical cut-down to access the right subclavian vein which would be necessary for allogeneic stem cell transplantation. Three weeks later the patient presented with high fever and headache. Bacillus spp. was isolated from the cathether while blood culture obtained from the peripheral vein remained negative. The bacterial identification was confirmed as B.cereus using VITEK identification system

It has been reported Bacillus cereus septicemia may be fatal in immunocompromised hosts despite broad-spectrum appropriate treatment10. Catheter removal is essential for prevention of recurrent bacteremia. Long-term cathater salvage should be reserved for appropriate patient group.

Keywords

BACILLUS CEREUS, CATHETER RELATED BLOODSTREAM INFECTION, ACUTE LYMPHOBLASTIC LEUKEMIA

Full Text:

PDF
HTML
Submitted: 2014-06-13 09:32:22
Published: 2012-01-18 00:00:00
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
199

Views:
PDF
111
HTML
724

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2016 Mediterranean Journal of Hematology and Infectious Diseases

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

 

The Mediterranean Journal of Hematology and Infectious Diseases [eISSN 2035-3006] is owned by the U.C.S.C. and it is published by PAGEPress®, Pavia, Italy. All credits and honors to PKP for their OJS.
 
 
© PAGEPress 2008-2017     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185