Catheter-related Leuconostoc bacteremia secondary to pulmonary Mycobacterium xenopi infection.
Infection caused by Leuconostoc spp. is very rare. We report a case of Leuconostoc bacteremia in a patient receiving antimycobacterial chemotherapy for pulmonary Mycobacterium xenopi infection. In addition, the patient presented several known characteristic predisposing factors associated with Leuconostoc infection, such as severe underlying disease, previous long-term antibiotic treatment, indwelling intravascular catheter, prolonged parenteral feeding, previous methicillin-resistant Staphylococcus epidermidis (MRSE) bacteremia with subsequent vancomycin treatment, and prolonged hospitalization. Leuconostoc spp. were isolated from several blood cultures and from a retracted intravascular catheter. After removal of the intravascular catheter the patient's condition improved without additional antibiotic treatment. To our knowledge, this is the first report of a patient with Leuconostoc spp. infection secondary to pulmonary non-tuberculous mycobacteriosis.
Pathologisch-Bakteriologisches Institut, SMZ Otto Wagner Spital, Baumgartner Höhe, Vienna, Austria. monika.huber@wienkav.at
Monika
M
Huber
Rudolf
R
Rumetshofer
Karl-Heinz
KH
Stradal
Johannes
J
Attems
Felix
F
Lintner
D016470:Bacteremia / Q000175:diagnosis / Q000209:etiology*; D055499:Catheter-Related Infections / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007934:Leuconostoc; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000175:diagnosis; D019912:Mycobacterium xenopi; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000175:diagnosis