Bloodstream infection caused by Campylobacter lari

Abstract We describe a case of bloodstream infection (BSI) caused by Campylobacter lari in a 58-year-old man diagnosed with lumbar pyogenic spondylitis. Anaerobic blood cultures, taken on the day of admission and on hospital day 4, were positive after 30 h of incubation, although no bacteria were de...

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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.333-337
Hauptverfasser: Morishita, Shota, Fujiwara, Hiromitsu, Murota, Hiromi, Maeda, Yumi, Hara, Ayako, Horii, Toshinobu
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container_title Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
container_volume 19
creator Morishita, Shota
Fujiwara, Hiromitsu
Murota, Hiromi
Maeda, Yumi
Hara, Ayako
Horii, Toshinobu
description Abstract We describe a case of bloodstream infection (BSI) caused by Campylobacter lari in a 58-year-old man diagnosed with lumbar pyogenic spondylitis. Anaerobic blood cultures, taken on the day of admission and on hospital day 4, were positive after 30 h of incubation, although no bacteria were detected by Gram staining. After subculture on 5 % sheep blood agar for 2 days at 35 °C in a 5 % CO2 environment, capnophilic, curved, gram-negative bacteria were recovered. The bacteria were identified as C. lari using a combination of phenotypic identification methods and partial 16S rRNA gene sequencing. The BSI was eradicated following combination therapy with intravenous tazobactam/piperacillin, oral erythromycin, and sulfamethoxazole/trimethoprim. These results suggest that accurate identification, to the species level, is important to determine effective treatment of BSI caused by Campylobacter spp. and can help us to understand the epidemiology.
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Anaerobic blood cultures, taken on the day of admission and on hospital day 4, were positive after 30 h of incubation, although no bacteria were detected by Gram staining. After subculture on 5 % sheep blood agar for 2 days at 35 °C in a 5 % CO2 environment, capnophilic, curved, gram-negative bacteria were recovered. The bacteria were identified as C. lari using a combination of phenotypic identification methods and partial 16S rRNA gene sequencing. The BSI was eradicated following combination therapy with intravenous tazobactam/piperacillin, oral erythromycin, and sulfamethoxazole/trimethoprim. 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subjects 16S rRNA gene sequencing
Agar
Bacteremia - microbiology
Bloodstream infection
Campylobacter Infections - blood
Campylobacter lari
Campylobacter lari - genetics
Campylobacter lari - isolation & purification
Case Report
Genes, Bacterial
Hematology, Oncology and Palliative Medicine
Humans
Infectious Diseases
Male
Medical Microbiology
Medicine
Medicine & Public Health
Middle Aged
Molecular Typing
RNA, Ribosomal, 16S - genetics
Sequence Analysis, RNA
Virology
title Bloodstream infection caused by Campylobacter lari
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