Ochrobactrum anthropi bacteremia in a patient on hemodialysis.
Although newer tunneled dialysis catheters offer improved capacity for blood flow and efficiency of dialysis, catheter-associated bacteremia remains an extremely important complication of this access strategy. This is a report of a case of catheter-associated bacteremia with Ochrobactrum anthropi, a water-borne gram-negative rod with an unusual pattern of antibiotic resistance. Given the organism's hydrophilic property and the frequency of catheter use in debilitated individuals with end-stage renal disease, Ochrobactrum anthropi infection should be considered in the differential diagnosis of a hemodialysis patient with unexplained fever.
Chertow
G M
GM
Divisions of Nephrology, Moffitt-Long Hospitals and UCSF-Mount Zion Medical Center, Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA. chertowg@medicine.ucsf.edu
D000368:Aged; D016470:Bacteremia / Q000209:etiology* / Q000382:microbiology; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D020621:Ochrobactrum anthropi / Q000302:isolation & purification; D006435:Renal Dialysis / Q000009:adverse effects*