Kluyvera intermedia bacteremia with septic shock: A case report
Tomohiro Inoue,
Yoshiro Hadano,
Hitoshi Koga,
Kazuhito Tamehiro,
Syuichirou Sagara,
Yuuji Tokuda,
Syougo Urabe,
Kohta Mukasa,
Kouhei Onitsuka,
Masahiro Higuchi,
Toshiki Sudo,
Takaaki Mabe,
Kiyosiro Toyama,
Aoi Ichikawa,
Syunsuke Hisaka,
Tomoka Moriya,
Miki Yamamoto
Affiliations
Tomohiro Inoue
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan; Correspondence to: Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, 422 Tsubukuhonmachi, Kurume-shi, Fukuoka 830-8543, Japan.
Yoshiro Hadano
Division of Infection Control and Prevention, Shimane University Hospital, Japan
Hitoshi Koga
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Kazuhito Tamehiro
Department of Intensive Care, Emergency Center, St. Mary's Hospital, Japan
Syuichirou Sagara
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Yuuji Tokuda
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Syougo Urabe
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Kohta Mukasa
Department of Emergency Medicine, Emergency Center, Urasoe General Hospital, Japan
Kouhei Onitsuka
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Masahiro Higuchi
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Toshiki Sudo
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Takaaki Mabe
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Kiyosiro Toyama
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Aoi Ichikawa
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Syunsuke Hisaka
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Tomoka Moriya
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Miki Yamamoto
Department of Emergency Medicine, Emergency Center, St. Mary's Hospital, Japan
Background: Kluyvera intermedia is a bacterium indigenous to humans. But Kluyvera intermedia bacteremia has been not reported thus far. We report a case of Kluyvera intermedia bacteremia with septic shock due to left obstructive pyelonephritis as a result of urolithiasis. Case presentation: A 66-year-old woman with septic shock due to left obstructive pyelonephritis was transferred to our hospital. Tazobactam/Piperacillin 4.5 g was administered every 8 h for 5 days. The patient's condition improved, and she was transferred back to the previous hospital. Kluyvera intermedia was obtained by blood cultures. The patient was successfully treated with a two-week course of antibiotics. Conclusions: We describe the first case of bacteremia with septic shock caused by Kluyvera intermedia. Kluyvera intermedia can be a causative pathogen of septic shock. Since this bacterium has not been reported in the past, we expect further reports and the accumulation of cases in the future.
