title: Self-induced bacteremia. Case report.
abstract: We describe a patient with perforated appendicitis who postoperatively suffered repeated episodes of shaking chills and temperature spikes. Initial blood cultures yielded growth of Flavobacterium meningosepticum, Pseudomonas putida and Pseudomonas paucimobilis, and succeeding blood cultures growth of Pseudomonas acidoverans. These bacteria in combination led to a suspicion of self-inoculation of contaminated water through an intravenous catheter. Antibiotic treatment had no effect on the symptoms, which only ceased when the intravenous catheter was removed.
authors.affiliation: Department of Clinical Microbiology, Aalborg Hospital, Denmark.
authors.forename: B
authors.initials: B
authors.lastname: Kristensen
authors.forename: L K
authors.initials: LK
authors.lastname: Tingsgaard
authors.forename: T
authors.initials: T
authors.lastname: Ejlertsen
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000209:etiology*; D005260:Female; D005334:Fever / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D014871:Water Microbiology