IDCases (Jan 2023)

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

Journal volume & issue
Vol. 32
p. e01765

Abstract

Read online

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.

Keywords