Central venous catheter infection with Bacillus pumilus in an immunocompetent child: a case report.
BACKGROUND
Bacillus organisms are common laboratory contaminants. The majority of Bacillus bacteraemias are transient and not clinically significant. Clinically significant infection due to Bacillus species is rare and mostly due to Bacillus cereus infections in immuno-compromised hosts.


METHODS
We report a case of central venous catheter infection with Bacillus pumilus in an immunocompetent child with tufting enteropathy on long-term parenteral nutrition (PN). There were three episodes of central venous catheter infection with Bacillus pumilus in three months. Despite adequate and appropriate use of intravenous antibiotics, the infection failed to clear resulting in the need for removal of the catheter for complete cure.


CONCLUSIONS
Bacillus species can cause clinically significant central venous catheter infection, even in an immunocompetent host. Despite adequate antibiotic treatment, the central venous catheter may need removal for complete cure.
Bentur
H N
HN
Department of Paediatric Gastroenterology, Royal Liverpool Children's Hospital (Alder Hey), Liverpool, UK. hemabentur@yahoo.co.in
Dalzell
A M
AM
Riordan
F A I
FA
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001407:Bacillus / Q000472:pathogenicity*; D016470:Bacteremia; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002675:Child, Preschool; D004866:Equipment Contamination; D016908:Gram-Positive Bacterial Infections / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007121:Immunocompetence; D010288:Parenteral Nutrition / Q000009:adverse effects*
D000900:Anti-Bacterial Agents