Toprak Demet, Soysal Ahmet, Turel Ozden, Dal Tuba, Ozkan Ozlem, Soyletir Guner, Bakir Mustafa
Department of Pediatrics, Marmara Univesity School of Medicine, Istanbul, Turkey.
Jpn J Infect Dis. 2008 May;61(3):229-30.
This report describes a 2-year-old child with neuroectodermal tumor presenting with febrile neutropenia. Blood cultures drawn from the peripheral vein and Hickman catheter revealed Kluyvera cryocrescens growth. The Hickman catheter was removed and the patient was successfully treated with cefepime and amikacin. Isolation of Kluyvera spp. from clinical specimens is rare. This saprophyte microorganism may cause serious central venous catheter infections, especially in immunosuppressed patients. Clinicians should be aware of its virulence and resistance to many antibiotics.
本报告描述了一名患有神经外胚层肿瘤并伴有发热性中性粒细胞减少症的2岁儿童。从外周静脉和希克曼导管采集的血培养物显示有克吕沃菌属生长。移除了希克曼导管，患者接受头孢吡肟和阿米卡星治疗成功。从临床标本中分离出克吕沃菌属的情况较为罕见。这种腐生微生物可能会引起严重的中心静脉导管感染，尤其是在免疫抑制患者中。临床医生应意识到其毒力以及对多种抗生素的耐药性。
