Carbapenem-resistant Citrobacter amalonaticus and VRE bacteraemia in an immunocompetent patient after a urological Rezum procedure.

Access microbiology Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI:10.1099/acmi.0.000852.v4
David Midlick, Jason Harhay, Nathan A Summers
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Abstract

In this report, we discuss the case of a 62-year-old man who presented with gross haematuria, fever, and chills 1 day after undergoing a Rezum procedure and was found to have carbapenem-resistant Citrobacter amalonaticus and vancomycin-resistant Enterococcus faecalis bacteraemia. The patient was treated with daptomycin, eravacycline, and ceftalozane-tazobactam with positive results. We discuss our case and treatment of C. amalonaticus bacteraemia, a pathogen with limited existing literature on its incidence, presentation, and treatment.

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一名免疫功能正常的患者在接受泌尿科 Rezum 手术后发生耐碳青霉烯类的阿马隆杆菌和 VRE 菌血症。
在本报告中,我们讨论了一例 62 岁男性患者的病例,该患者在接受 Rezum 手术 1 天后出现毛细血尿、发热和寒战,并被发现患有耐碳青霉烯类的阿马隆杆菌和耐万古霉素的粪肠球菌菌血症。患者接受了达托霉素、克拉维西林和头孢他嗪-他唑巴坦治疗,效果良好。我们讨论了我们的病例和对阿马洛那他球菌菌血症的治疗,关于这种病原体的发病率、表现和治疗的现有文献很有限。
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