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J Infect Chemother ; 28(2): 315-318, 2022 Feb.
Article in English | MEDLINE | ID: mdl-34865964

ABSTRACT

A 93-year-old woman was diagnosed with Lysinibacillus fusiformis bacteremia complicated with coma blisters. Initial gram staining for L. fusiformis indicated the presence of gram-negative rods; however, subsequent staining of colonies from Mueller-Hinton agar revealed the presence of gram-positive and gram-negative rods with spherical endospores, and Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (VITEK ® MS and microflex® LT/SH) definitively identified the organism as L. fusiformis. The two-week administration of piperacillin/tazobactam and ampicillin resulted in an improvement of the patient's general condition, and the skin lesions gradually improved.


Subject(s)
Bacillaceae , Bacteremia , Aged, 80 and over , Bacteremia/diagnosis , Bacteremia/drug therapy , Female , Gram-Negative Bacteria , Humans , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
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