Bacteremia in a Surgical Patient: Case Report and Review of the Literature.

species were first isolated in 1941. Since then, 48 cases of bacteremia have been reported, a majority of which were immunosuppressed patients with central venous catheters.A case is described and previous cases of bacteremia are reviewed. A 70-year-old total parenteral nutrition (TPN)-dependent female with recurrent enterocutaneous fistula (ECF), developed leukocytosis one week after a challenging ECF takedown. After starting broad-spectrum antibiotic agents, undergoing percutaneous drainage of intra-abdominal abscess, and subsequent repositioning of the drain, her leukocytosis resolved. Blood and peripherally inserted central catheter (PICC) cultures grew spp. The patient was discharged to home with 14 days of daily 2 g ceftriaxone, with resolution of bacteremia. spp. are a rare opportunistic pathogen predominantly affecting immunocompromised patients, with central venous catheters present in most cases. However, there have been few reported cases in immunocompetent individuals with predisposing conditions such as end-stage renal disease and uncontrolled diabetes mellitus.