ABSTRACT
A preterm infant had persistent Staphylococcus capitis septicemia with 11 consecutive positive blood cultures over a period of 33 days. The clinical evidence suggested that the source of infection probably originated from the gastrointestinal tract. The combination of rifampin and linezolid treatment, together with prolonged stoppage of enteral feeding, successfully terminated the infection. Rifampin and linezolid should be considered as alternative antimicrobial agents when glycopeptides fail to eradicate Gram-positive pathogens from the host.
Subject(s)
Anti-Infective Agents/therapeutic use , Sepsis/drug therapy , Staphylococcal Infections/drug therapy , Staphylococcus/isolation & purification , Acetamides/therapeutic use , Gastrointestinal Tract/microbiology , Humans , Infant, Newborn , Linezolid , Male , Oxazolidinones/therapeutic use , Rifampin/therapeutic use , Sepsis/microbiology , Staphylococcal Infections/microbiologySubject(s)
Acinetobacter Infections/drug therapy , Acinetobacter Infections/microbiology , Acinetobacter baumannii/drug effects , Carbapenems/pharmacology , Acinetobacter baumannii/classification , Acinetobacter baumannii/genetics , Acinetobacter baumannii/isolation & purification , Base Sequence , China , DNA, Bacterial/genetics , DNA, Bacterial/isolation & purification , Drug Resistance, Bacterial/genetics , Electrophoresis, Gel, Pulsed-Field , Hong Kong , HumansABSTRACT
Psychrobacter species rarely cause infections in human. We reported herein a 62-year-old cirrhotic patient who presented with fever and diarrhoea after the consumption of raw geoduck clam. Blood culture grew Psychrobacter phenylpyruvicus which was sensitive to most anti-microbial agents. The patient responded promptly to intravenous antibiotics. This is the first report of human infection with this unusual organism which illustrates the potential health hazards of eating raw geoduck clam in patients with advanced liver disease.
