Bacteremia caused by Rothia mucilaginosa after pneumonia, in a patient with hematopoietic stem cell transplantation.
Rothia muciloginosa is a member of normal flora and rarely causes invasive disease. Immunosupressed patients have increased risk for severe infection. Here, we report a male patient with relapsed neuroblastoma hospitalized for pneumonia. After clinical improvement, patient's respiratory symptoms worsened again. Rothia muciloginosa was isolated from blood culture. The worsening of respiratory symptoms can be explained by hematogenous spread of bacteria. He was successfully treated with meropenem and vancomycin for 14 days. This rarely seen bacterium is known to have high mortality rates unless treated appropriately and should be considered especially in patients with malignancy due to their immunsupressed situation.
Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey. cihangulbayhan@gmail.com.
Cihangül
C
Bayhan
Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Eda
E
Karadag Oncel
Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ali B
AB
Cengiz
Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ayça B
AB
Oksüz
Department of Pediatric Oncology, Hacettepe University Faculty of Medicine and Cancer Institute, Ankara, Turkey.
Güzide B
GB
Aydin
D000193:Actinomycetales Infections / Q000150:complications*; D016470:Bacteremia / Q000382:microbiology*; D002675:Child, Preschool; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D008297:Male; D008835:Micrococcaceae; D009447:Neuroblastoma / Q000601:surgery; D018410:Pneumonia, Bacterial / Q000150:complications*; D011183:Postoperative Complications / Q000382:microbiology*
Bacteremia; Neuroblastoma; Pneumonia; Rothia muciloginosa; Transplantation