title: First report of Kocuria marina bloodstream infection unrelated to a central venous catheter: a mini-review on an emerging and under-recognized opportunistic pathogen.
abstract: We report a case of sepsis by Kocuria marina in a 45-year-old woman carrying a midline venous catheter to provide total parenteral nutrition. Despite the finding of K. marina bacteraemia, no bacteria grew from the culture of the catheter tip. As the patient was affected with severe leg ulcers, K. marina bloodstream infection from a skin breakage other than CVC was supposed. K. marina is an emerging opportunistic agent deserving attention and probably under-recognized, as it can be misdiagnosed as Staphylococcus if only conventional microbiological analyses are performed for bacterial identification.
authors.affiliation: Department of Chemical Clinical Analysis, Microbiology Unit, ASST Melegnano-Martesana, Vizzolo Predabissi, Milano, Italy.
authors.forename: Giovanna
authors.initials: G
authors.lastname: Pulcrano
authors.affiliation: Department of Chemical Clinical Analysis, Microbiology Unit, ASST Melegnano-Martesana, Vizzolo Predabissi, Milano, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Balzaretti
authors.affiliation: Department of Chemical Clinical Analysis, Microbiology Unit, ASST Melegnano-Martesana, Vizzolo Predabissi, Milano, Italy.
authors.forename: Alessia
authors.initials: A
authors.lastname: Grosini
authors.affiliation: Department of General Medicine, ASST Melegnano-Martesana, Vizzolo Predabissi, Milano, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Piacentini
authors.affiliation: Department of Paediatrics, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Poddighe
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001249:Asthma / Q000150:complications; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D015992:Body Mass Index; D062905:Central Venous Catheters; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D007871:Leg Ulcer / Q000150:complications; D064704:Levofloxacin / Q000627:therapeutic use*; D008835:Micrococcaceae / Q000302:isolation & purification; D008875:Middle Aged; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D064704:Levofloxacin