title: Central venous catheter infection in a child: case report and review of Kluyvera infection in children.
abstract: Kluyvera is an opportunistic pathogen that can occur in immunosuppressed as well as immunocompetent hosts. We report a case of Kluyvera species infection involving a central venous catheter, and we review the literature on Kluyvera infections in children. Our case demonstrates that removal of the central venous catheter was necessary to eradicate the infection and hasten the resolution of refractory neutropenia. The spectrum of disease due to Kluyvera infection in children includes central venous catheter infection and/or sepsis, urinary tract infection, enteritis, and, in one instance, fatal peritonitis. It is clear on the basis of our case report that uncommon, opportunistic organisms such as Kluyvera can be significant pathogens.
authors.affiliation: Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS 39211, USA.
authors.forename: Tami
authors.initials: T
authors.lastname: Brooks
authors.forename: Sandor
authors.initials: S
authors.lastname: Feldman
mesh_terms: D000293:Adolescent; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007716:Kluyveromyces / Q000472:pathogenicity*; D009181:Mycoses / Q000209:etiology*