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 |
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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. |
doi_str_mv | 10.1007/s10156-012-0472-x |
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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. 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.</description><identifier>ISSN: 1341-321X</identifier><identifier>EISSN: 1437-7780</identifier><identifier>DOI: 10.1007/s10156-012-0472-x</identifier><identifier>PMID: 22992836</identifier><language>eng</language><publisher>Japan: Elsevier Ltd</publisher><subject>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</subject><ispartof>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2013-04, Vol.19 (2), p.338-341</ispartof><rights>Japanese Society of Chemotherapy and the Japanese Association for Infectious Diseases</rights><rights>2013 Japanese Society of Chemotherapy and the Japanese Association for Infectious Diseases</rights><rights>Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-a0a791bef9f5810f5a31041a1d0924c198a4c881cc77f9704792c7c952f24ea23</citedby><cites>FETCH-LOGICAL-c513t-a0a791bef9f5810f5a31041a1d0924c198a4c881cc77f9704792c7c952f24ea23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10156-012-0472-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10156-012-0472-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22992836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hagiya, Hideharu</creatorcontrib><creatorcontrib>Sugiyama, Junichi</creatorcontrib><creatorcontrib>Kuroe, Yasutoshi</creatorcontrib><creatorcontrib>Nojima, Hiroyoshi</creatorcontrib><creatorcontrib>Naito, Hiromichi</creatorcontrib><creatorcontrib>Hagioka, Shingo</creatorcontrib><creatorcontrib>Morimoto, Naoki</creatorcontrib><creatorcontrib>Murase, Tomoko</creatorcontrib><title>Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient</title><title>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</title><addtitle>J Infect Chemother</addtitle><addtitle>J Infect Chemother</addtitle><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.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Atropine - therapeutic use</subject><subject>Bacteremia</subject><subject>Bacteremia - microbiology</subject><subject>Bacteria</subject><subject>Bacterial Translocation</subject><subject>Case Report</subject><subject>Delftia acidovorans</subject><subject>Delftia acidovorans - drug effects</subject><subject>Delftia acidovorans - isolation & purification</subject><subject>Delftia acidovorans - physiology</subject><subject>Female</subject><subject>Gram-Negative Bacterial Infections - microbiology</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Medical Microbiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microbial Sensitivity Tests</subject><subject>Middle Aged</subject><subject>Muscarinic Antagonists - therapeutic use</subject><subject>Organophosphate Poisoning</subject><subject>Organophosphorus poisoning</subject><subject>Surface-active agent</subject><subject>Virology</subject><issn>1341-321X</issn><issn>1437-7780</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksuKFTEQhhtRnIs-gBvJ0k2PqfQlaQRBZrzBgAsV3IU66epjxu6kTdLDnAfwvU3TRwUXswhJVf7_D_moongG_AI4ly8jcGjakoMoeS1FefegOIW6kqWUij_M56qGshLw7aQ4i_GGc5CNUo-LEyG6TqiqPS1-XdE4JIsMje39rQ_oItuhSRRoym2DS6Se7Q7HpsWRpVU0eoPJesdwyG3mwx6dn7_7mFdYIpu9jd5Zt2c2axyz07Q4b_w0UyKXGPbLmNicM3L1pHg04Bjp6XE_L76-e_vl8kN5_en9x8s316VpoEolcpQd7GjohkYBHxqsgNeA0PNO1AY6hbVRCoyRcuhkZtIJI03XiEHUhKI6L15suXPwPxeKSU82GhpHdOSXqDM8rlqQqspS2KQm-BgDDXoOdsJw0MD1Sl9v9HWmr1f6-i57nh_jl91E_V_HH9xZIDZBzFduT0Hf-CW4_OV7U19tJspkbm02RZOhGeptIJN07-297tf_uc1onTU4_qADxX_v65g9-vM6M-vIQCU5tC1UvwF09rwQ</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Hagiya, Hideharu</creator><creator>Sugiyama, Junichi</creator><creator>Kuroe, Yasutoshi</creator><creator>Nojima, Hiroyoshi</creator><creator>Naito, Hiromichi</creator><creator>Hagioka, Shingo</creator><creator>Morimoto, Naoki</creator><creator>Murase, Tomoko</creator><general>Elsevier Ltd</general><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T5</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope></search><sort><creationdate>20130401</creationdate><title>Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient</title><author>Hagiya, Hideharu ; Sugiyama, Junichi ; Kuroe, Yasutoshi ; Nojima, Hiroyoshi ; Naito, Hiromichi ; Hagioka, Shingo ; Morimoto, Naoki ; Murase, Tomoko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-a0a791bef9f5810f5a31041a1d0924c198a4c881cc77f9704792c7c952f24ea23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Atropine - therapeutic use</topic><topic>Bacteremia</topic><topic>Bacteremia - microbiology</topic><topic>Bacteria</topic><topic>Bacterial Translocation</topic><topic>Case Report</topic><topic>Delftia acidovorans</topic><topic>Delftia acidovorans - drug effects</topic><topic>Delftia acidovorans - isolation & purification</topic><topic>Delftia acidovorans - physiology</topic><topic>Female</topic><topic>Gram-Negative Bacterial Infections - microbiology</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Medical Microbiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microbial Sensitivity Tests</topic><topic>Middle Aged</topic><topic>Muscarinic Antagonists - therapeutic use</topic><topic>Organophosphate Poisoning</topic><topic>Organophosphorus poisoning</topic><topic>Surface-active agent</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hagiya, Hideharu</creatorcontrib><creatorcontrib>Sugiyama, Junichi</creatorcontrib><creatorcontrib>Kuroe, Yasutoshi</creatorcontrib><creatorcontrib>Nojima, Hiroyoshi</creatorcontrib><creatorcontrib>Naito, Hiromichi</creatorcontrib><creatorcontrib>Hagioka, Shingo</creatorcontrib><creatorcontrib>Morimoto, Naoki</creatorcontrib><creatorcontrib>Murase, Tomoko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hagiya, Hideharu</au><au>Sugiyama, Junichi</au><au>Kuroe, Yasutoshi</au><au>Nojima, Hiroyoshi</au><au>Naito, Hiromichi</au><au>Hagioka, Shingo</au><au>Morimoto, Naoki</au><au>Murase, Tomoko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient</atitle><jtitle>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</jtitle><stitle>J Infect Chemother</stitle><addtitle>J Infect Chemother</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>19</volume><issue>2</issue><spage>338</spage><epage>341</epage><pages>338-341</pages><issn>1341-321X</issn><eissn>1437-7780</eissn><abstract>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.</abstract><cop>Japan</cop><pub>Elsevier Ltd</pub><pmid>22992836</pmid><doi>10.1007/s10156-012-0472-x</doi><tpages>4</tpages></addata></record> |
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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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