[Leuconostoc infections in patients with short gut syndrome, parenteral nutrition and continuous enteral feeding].
Leuconostoc is a gram-positive cocci, quite ubiquitous in nature. It is used in wine industry, and for aroma and texture of dairy products. Occasionally it has been isolated from humans in cases of bacteremia, catheter associated infections, sepsis, meningitis, pneumonia, UTI, osteomyelitis and hepatic dysfunction. Short bowel syndrome, patients with CVC and patients with gastrostomy undergoing enteral feeding, are described amongst the factors associated with this infection. The isolation of a gram-positive cocci, that does not hydrolyze arginine and that is resistant to vancomycin leads to this diagnostic possibility. Antibiotic treatment: penicillin or ampicillin.
Jofré M
Leonor
L
Servicio de Pediatría, Hospital Clínico, Universidad de Chile, Chile. leonorjofre@gmail.com
Sakurada Z
Andrea
A
Ulloa F
M Teresa
MT
Hormázabal O
J Carlos
JC
Godoy M
Viviana
V
Fernández O
Jorge
J
Gutiérrez M
Marcela
M
Monteverde O
M Pilar
MP
Castillo G
Marcela
M
Canales P
Ana
A
D004750:Enteral Nutrition / Q000009:adverse effects*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D007223:Infant; D007934:Leuconostoc / Q000302:isolation & purification*; D010288:Parenteral Nutrition / Q000009:adverse effects*; D012778:Short Bowel Syndrome / Q000150:complications*