Citrobacter Koseri Infective Endocarditis with Septic Endophthalmitis

Al-Alwan, A.; Sirpal, Vishakha; Yarrarapu, S.N.; Fichadiya, H.A.; Vyas, Charmee; Tiperneni, Raghu; Heis, Farah

doi:10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1644

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2024

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“…The most frequently found GNB include Escherichia coli , Pseudomonas aeruginosa , and Klebsiella pneumoniae , mainly related to healthcare settings. 4 Citrobacter koseri -related IE cases are quite infrequently reported, 5 – 12 and so far, no clear associated factors have been described. We present a case report of IE attributed to C. koseri in an elderly patient with no comorbidities after blunt testicular trauma.…”

Section: Introductionmentioning

confidence: 99%

Infective endocarditis due to Citrobacter koseri following testicular trauma: case report and literature review

Casallas-Barrera,

Poveda-Henao,

Mantilla-Viviescas

et al. 2024

Therapeutic Advances in Infection

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Infective endocarditis (IE) is a condition with low prevalence but high mortality rates within intensive care units. Microbiologically, most cases are attributed to Gram-positive cocci, while Gram-negative bacilli are less commonly involved. This case report describes a patient with IE caused by Citrobacter koseri (C. koseri) with secondary bacteremia due to blunt testicular trauma and epididymitis. We conducted a review of the literature to assess the clinical and associated risk factors of this underreported condition. Elderly and urinary tract infections could be associated with this entity. Cefazolin was used as the final targeted treatment. The use of precision medicine in IE is required for specific interventions.

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