Catheter-related bacteremia with endocarditis caused by Kocuria rhizophila

Pierron, Alix; Zayet, S.; Toko, Lynda; Royer, P; Garnier, P; Gendrin, Vincent

doi:10.1016/j.medmal.2020.09.007

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…It is worth noting that some non-pathogenic species of human microflora are isolated from BSIs in immunocompetent patients: Gemella morbillorum was isolated from a healthy 5-month-old baby [ 26 ], Pantoea dispersa from an immunocompetent 38-year-old woman [ 27 ], Rothia mucilaginosa from a 9-month-old baby [ 28 ], and Brevibacterium paucivorans from an older patient [ 29 ]. Some species described so far as rare pathogens emerge more and more frequently in BSI and are becoming significant human pathogens, such as Kocuria rhizophila isolated from catheter-related BSIs [ 30 , 31 ]. Others, such as environmental Aeromonas hydrophila , although rare, can cause severe or problematic infections due to drug resistance [ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare-Associated Laboratory-Confirmed Bloodstream Infections—Species Diversity and Resistance Mechanisms, a Four-Year Retrospective Laboratory-Based Study in the South of Poland

Chmielarczyk

Pomorska-Wesołowska²,

Romaniszyn

et al. 2021

IJERPH

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Introduction: Regardless of the country, advancements in medical care and infection prevention and control of bloodstream infections (BSIs) are an enormous burden of modern medicine. Objectives: The aim of our study was to describe the epidemiology and drug-resistance of laboratory-confirmed BSI (LC-BSIs) among adult patients of 16 hospitals in the south of Poland. Patients and methods: Data on 4218 LC-BSIs were collected between 2016–2019. The identification of the strains was performed using MALDI-TOF. Resistance mechanisms were investigated according to European Committee on Antimicrobial Susceptibility Testing, EUCAST recommendations. Results: Blood cultures were collected from 8899 patients, and LC-BSIs were confirmed in 47.4%. The prevalence of Gram-positive bacteria was 70.9%, Gram-negative 27.8% and yeast 1.4%. The most frequently isolated genus was Staphylococcus (50% of all LC-BSIs), with a domination of coagulase-negative staphylococci, while Escherichia coli (13.7%) was the most frequent Gram-negative bacterium. Over 4 years, 108 (2.6%) bacteria were isolated only once, including species from the human microbiota as well as environmental and zoonotic microorganisms. The highest methicillin resistant Staphylococcus aureus (MRSA) prevalence was in intensive care units (ICUs) (55.6%) but S. aureus with resistance to macrolides, lincosamides and streptogramins B (MLSB) in surgery was 66.7%. The highest prevalence of E. faecalis with a high-level aminoglycoside resistance (HLAR) mechanism was in ICUs, (84.6%), while E. faecium-HLAR in surgery was 83.3%. All cocci were fully glycopeptide-sensitive. Carbapenem-resistant Gram-negative bacilli were detected only in non-fermentative bacilli group, with prevalence 70% and more. Conclusions: The BSI microbiology in Polish hospitals was similar to those reported in other studies, but the prevalence of MRSA and enterococci-HLAR was higher than expected, as was the prevalence of carbapenem-resistant non-fermentative bacilli. Modern diagnostic techniques, such as MALDI-TOF, guarantee reliable diagnosis.

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Section: Discussionmentioning

confidence: 99%

Healthcare-Associated Laboratory-Confirmed Bloodstream Infections—Species Diversity and Resistance Mechanisms, a Four-Year Retrospective Laboratory-Based Study in the South of Poland

Chmielarczyk

Pomorska-Wesołowska²,

Romaniszyn

et al. 2021

IJERPH

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“…There is a recent case report of infective endocarditis caused by K. rosea in a 10-year-old immunocompetent female [ 8 ]. Pierron et al, has recently reported a case of catheter-related bacteremia and endocarditis with K. rhizophila in an 81-year-old diabetic patient [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Pediatric Central Venous Catheter-Related Bloodstream Infection With Kocuria Varians

Mathew¹,

Nath²,

Modaweb³

et al. 2021

Cureus

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Cases of central line blood infections caused by Kocuria spp. are limited in the literature. Most of those infections have been detected in hospitalized patients with severe underlying disease or those with implanted catheters or with suppressed immunity. They are usually non-pathogenic in humans, but few cases of opportunistic infections in adult and pediatric populations have been reported. They can be serious in certain occasions. So treating physicians should not underestimate or ignore the significance of the infection with these bacteria. We report a rare case of central venous catheter (CVC) infection associated with Kocuria varians , which was successfully treated with CVC salvage.

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“…Several studies reported that it was associated with peritonitis and urinary tract infection. Recently it has been reported that Kocuria rhizophila is causing catheter-related bacteremia with endocarditis [76].…”

Section: Occurrence Of Allochthonous Microorganisms In Traditionally Processed Cheesementioning

confidence: 99%

Microbial Diversity of Traditionally Processed Cheese from Northeastern Region of Transylvania (Romania)

György¹,

Laslo²

2021

Fermentation - Processes, Benefits and Risks

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The composition and production technology of the cheese are extremely diverse. There are a wide variety of microbial species on their surface, with a much smaller number inside of the product. The microbiota of the cheese may be composed of beneficial microorganisms, spoilage and foodborne pathogens. Identification and characterization of the microorganisms present in these products are important nutrition, food safety and technological aspects. During our work we evaluated the prevalence of allochthonous bacteria and microscopic fungi in traditionally processed cheeses from northeastern region of Transylvania, with classical microbiological culture methods. Based on the results the microbiota of the analysed cheeses was highly diversified. The identified bacteria with the highest prevalence from different selective media, were as follows: Escherichia coli, Enterococcus durans, Enterococcus faecalis, Shigella flexnerii, Proteus vulgaris, Stenotrophomonas maltophilia, Staphylococcus equorum subsp. equorum, Staphylococcus equorum subsp. linens, Halomonas alkaliphila, Kocuria rhizophila, Hafnia paralvei, Bacillus licheniformis and Klebsiella michiganensis.

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Catheter-related bacteremia with endocarditis caused by Kocuria rhizophila

Cited by 10 publications

References 7 publications

Healthcare-Associated Laboratory-Confirmed Bloodstream Infections—Species Diversity and Resistance Mechanisms, a Four-Year Retrospective Laboratory-Based Study in the South of Poland

Healthcare-Associated Laboratory-Confirmed Bloodstream Infections—Species Diversity and Resistance Mechanisms, a Four-Year Retrospective Laboratory-Based Study in the South of Poland

A Rare Case of Pediatric Central Venous Catheter-Related Bloodstream Infection With Kocuria Varians

Microbial Diversity of Traditionally Processed Cheese from Northeastern Region of Transylvania (Romania)

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