Recurrent “Flexispira rappini” Bacteremia in an Adult Patient Undergoing Hemodialysis: Case Report
AUTOR(ES)
Sorlin, P.
FONTE
American Society for Microbiology
RESUMO
A blood culture from a 65-year-old febrile man undergoing hemodialysis revealed, 5 days after inoculation, an unusual gram-negative fusiform rod with darting motility. During another episode of fever 21 days later, this Campylobacter-like organism was again recovered from three blood cultures and subcultured under an H2-enriched microaerobic atmosphere. The organism was catalase negative and oxidase positive and hydrolyzed urea rapidly. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis of whole-cell proteins was indistinguishable from that of “Flexispira rappini” LMG 8738 described by Archer et al. in 1988 (J. R. Archer, S. Romero, A. E. Ritchier, M. E. Hamacher, B. M. Steiner, J. H. Bryner, and R. F. Schell, J. Clin. Microbiol. 26:101–105, 1988). The analysis of the 16S ribosomal DNA sequence revealed a similarity of 99.3% between the two strains. The patient recovered completely after a 4-week course of meropenem therapy. This is the first reported case of a recurrent “F. rappini” bacteremia in an adult patient, which confirms that this organism may be an invasive pathogen in immunocompromised patients, like other newly described Helicobacter species.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=84762Documentos Relacionados
- “Flexispira rappini” Bacteremia in a Child with Pneumonia
- Isolation and characterization of "Flexispira rappini" from laboratory mice.
- Helicobacter sp. Flexispira Bacteremia in an Immunocompetent Young Adult
- Vascular access-related infections in HIV patients undergoing hemodialysis: case description and literature review
- Recurrent Bacteremia Caused by a “Flexispira”-Like Organism in a Patient with X-Linked (Bruton’s) Agammaglobulinemia