Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient

Abstract A 46-year-old woman was transferred to our emergency unit because of impaired consciousness and respiratory failure with the history of excessive pesticide intake. The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase...

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Veröffentlicht in:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2013-04, Vol.19 (2), p.338-341
Hauptverfasser: Hagiya, Hideharu, Sugiyama, Junichi, Kuroe, Yasutoshi, Nojima, Hiroyoshi, Naito, Hiromichi, Hagioka, Shingo, Morimoto, Naoki, Murase, Tomoko
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container_issue 2
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container_title Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
container_volume 19
creator Hagiya, Hideharu
Sugiyama, Junichi
Kuroe, Yasutoshi
Nojima, Hiroyoshi
Naito, Hiromichi
Hagioka, Shingo
Morimoto, Naoki
Murase, Tomoko
description Abstract A 46-year-old woman was transferred to our emergency unit because of impaired consciousness and respiratory failure with the history of excessive pesticide intake. The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase. She was intubated and treated in the intensive care unit with the diagnosis of organophosphorus poisoning. The patient had persisted diarrhea, with a high fever and stomach tenderness on day 10. Whole-body contrast enhanced computed tomography revealed a swollen, enhanced small intestinal wall, and blood culture identified Delftia acidovorans . She was diagnosed as D. acidovorans bacteremia, probably caused by bacterial translocation based on the clinical presentation and the exclusion of other sources, and treated well with a total of 8 days of antibiotic therapy. So far as we know, this is the first case of D. acidovorans bacteremia that was presumably caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient.
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The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase. She was intubated and treated in the intensive care unit with the diagnosis of organophosphorus poisoning. The patient had persisted diarrhea, with a high fever and stomach tenderness on day 10. Whole-body contrast enhanced computed tomography revealed a swollen, enhanced small intestinal wall, and blood culture identified Delftia acidovorans . She was diagnosed as D. acidovorans bacteremia, probably caused by bacterial translocation based on the clinical presentation and the exclusion of other sources, and treated well with a total of 8 days of antibiotic therapy. 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subjects Anti-Bacterial Agents - therapeutic use
Atropine - therapeutic use
Bacteremia
Bacteremia - microbiology
Bacteria
Bacterial Translocation
Case Report
Delftia acidovorans
Delftia acidovorans - drug effects
Delftia acidovorans - isolation & purification
Delftia acidovorans - physiology
Female
Gram-Negative Bacterial Infections - microbiology
Hematology, Oncology and Palliative Medicine
Humans
Infectious Diseases
Medical Microbiology
Medicine
Medicine & Public Health
Microbial Sensitivity Tests
Middle Aged
Muscarinic Antagonists - therapeutic use
Organophosphate Poisoning
Organophosphorus poisoning
Surface-active agent
Virology
title Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient
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