Polymicrobial infection with Kluyvera species secondary to pressure necrosis of the hand, a case report

Abstract

Kluyvera is a rare infection in the upper extremity. Originally identified as an opportunistic pathogen, the virulence of Kluyvera has been debated. An elderly male presented with multiple pressure sores after being found down for an unknown time period. A hand abscess bacterial culture grew Kluyvera species as part of a polymicrobial infection. Despite multiple debridements, antibiotics and wound care, his clinical course ultimately was unsatisfactory and eventually fatal.

The draft genome sequence of bla CTX-M-270 -carrying Kluyvera ascorbata isolated from human sputum

“…Kluyvera ascorbata is a species of the Enterobacteriaceae ( 1 ) and can cause a variety of infections, including bacteremia, cholangitis, and urinary tract infections ( 2 – 4 ), some of which are life-threatening ( 5 , 6 ). However, compared to many other Enterobacteriaceae species, Kluyvera remains less studied.…”

Complete Genome Sequence of Kluyvera sp. CRP, a Cellulolytic Strain Isolated from Red Panda Feces (Ailurus fulgens)

“…Kluyvera species are coliforms that are widely distributed in the environment and have been isolated from freshwater ( 1 ), seawater ( 2 ), sewage ( 3 ), and soil ( 4 , 5 ); from synanthropic spiders ( 6 ) and flies ( 7 ); from cows ( 8 ), Egyptian fruit-bats ( 9 ), and sea turtles ( 10 ); and from the rhizosphere ( 11 ) and as endophytes ( 12 ), where they may promote plant growth ( 13 , 14 ) and protect against disease ( 15 ). In humans, Kluyvera infections are uncommon but are often persistent and even fatal ( 16 – 19 ).…”