1887

Abstract

Infection is a common complication in patients carrying a central venous catheter (CVC) and is associated with increased morbidity and mortality. is an unusual but emerging pathogen in healthy and immunocompromised patients. We report a case of bacteraemia in a patient with a haemodialysis tunnelled CVC. In accordance with the susceptibility to the tested antimicrobials, a long-course treatment with intravenous gentamicin plus amoxicillin-clavulanic acid and gentamicin-lock therapy was adopted. The patient had a full recovery and the catheter was not removed. We also performed a systematic PubMed/Medline and Scopus review of peer-reviewed English papers on infections, focusing on bacteraemia in patients with different types of CVCs. Moreover, we suggest a treatment algorithm to preserve the patient and maintain the CVC.

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2013-10-01
2019-10-20
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References

  1. Cai M., Dong X., Wei J.. ( 1992;). [ Isolation and identification of Leclercia adecarboxylata in clinical isolates in China. .] Wie Sheng Wu Xue Bao 32:, 119–123 (in Chinese)
    [Google Scholar]
  2. Corti G., Mondanelli N., Losco M., Bartolini L., Fontanelli A., Paradisi F.. ( 2009;). Post-traumatic infection of the lower limb caused by rare Enterobacteriaceae and Mucorales in a young healthy male. . Int J Infect Dis 13:, e57–e60. [CrossRef][PubMed]
    [Google Scholar]
  3. Dalamaga M., Pantelaki M., Karmaniolas K., Daskalopoulou K., Migdalis I.. ( 2009;). Isolation of Leclercia adecarboxylata from blood and burn wound after a hydrofluoric acid chemical injury. . Burns 35:, 443–445. [CrossRef][PubMed]
    [Google Scholar]
  4. Davenport P., Land K. J.. ( 2007;). Isolation of Leclercia adecarboxylata from the blood culture of an asymptomatic platelet donor. . Transfusion 47:, 1816–1819. [CrossRef][PubMed]
    [Google Scholar]
  5. de Baere T., Wauters G., Huylenbroeck A., Claeys G., Peleman R., Verschraegen G., Allemeersch D., Vaneechoutte M.. ( 2001;). Isolations of Leclercia adecarboxylata from a patient with a chronically inflamed gallbladder and from a patient with sepsis without focus. . J Clin Microbiol 39:, 1674–1675. [CrossRef][PubMed]
    [Google Scholar]
  6. de la Obra P., Domingo D., Casaseca R., del Carmen del Rey M., Lopez-Brea M.. ( 1999;). Bacteremia due to Leclercia adecarboxylata in a patient with multiple myeloma. . Clin Microbiol Newsl 21:, 142–143. [CrossRef]
    [Google Scholar]
  7. Fattal O., Deville J. G.. ( 2000;). Leclercia adecarboxylata peritonitis in a child receiving chronic peritoneal dialysis. . Pediatr Nephrol 15:, 186–187. [CrossRef][PubMed]
    [Google Scholar]
  8. Fernández-Ruiz M., López-Medrano F., García-Sánchez L., García-Reyne A., Ortuño de Solo T., Sanz-Sanz F., Aguado J. M.. ( 2009;). Successful management of tunneled hemodialysis catheter-related bacteremia by Leclercia adecarboxylata without catheter removal: report of two cases. . Int J Infect Dis 13:, e517–e518. [CrossRef][PubMed]
    [Google Scholar]
  9. Forrester J. D., Adams J., Sawyer R. G.. ( 2012;). Leclercia adecarboxylata bacteremia in a trauma patient: case report and review of the literature. . Surg Infect (Larchmt) 13:, 63–66. [CrossRef][PubMed]
    [Google Scholar]
  10. Hess B., Burchett A., Huntington M. K.. ( 2008;). Leclercia adecarboxylata in an immunocompetent patient. . J Med Microbiol 57:, 896–898. [CrossRef][PubMed]
    [Google Scholar]
  11. Jover-Sáenz A., Cerezo-Esforzado E., Barcenilla-Gaite F., Garrido-Calvo S., Porcel-Pérez J. M.. ( 2008;). Leclercia adecarboxylata cholecystitis in a patient with metabolic syndrome. . Surg Infect (Larchmt) 9:, 411–412. [CrossRef][PubMed]
    [Google Scholar]
  12. Kim H. M., Chon C. Y., Ahn S. H., Jung S. J., Han K. H., Moon B. S., Moon Y. M.. ( 2008;). Fatal spontaneous bacterial peritonitis by Leclercia adecarboxylata in a patient with hepatocellular carcinoma. . Int J Clin Pract 62:, 1296–1298. [CrossRef][PubMed]
    [Google Scholar]
  13. Leclerc H.. ( 1961;). Etude biochimique d’enterobacteriaceae pigmentees. . Ann Inst Pasteur (Paris) 102:, 726–741.
    [Google Scholar]
  14. Lee B., Sir J. J., Park S. W., Kwak C. H., Kim S. M., Kim S. B., Kwak Y. G., Whang D. H., Cho W. H., Choi S. K.. ( 2009;). A case of Leclercia adecarboxylata endocarditis in a woman with endometrial cancer. . Am J Med Sci 337:, 146–147. [CrossRef][PubMed]
    [Google Scholar]
  15. Longhurst C. A., West D. C.. ( 2001;). Isolation of Leclercia adecarboxylata from an infant with acute lymphoblastic leukemia. . Clin Infect Dis 32:, 1659. [CrossRef][PubMed]
    [Google Scholar]
  16. Marina V. P., Abidi S., Malhotra D.. ( 2011;). Leclercia adecarboxylata, an unusual hemodialysis catheter-related infection. . Int Urol Nephrol 43:, 1257–1258. [CrossRef][PubMed]
    [Google Scholar]
  17. Mazzariol A., Zuliani J., Fontana R., Cornaglia G.. ( 2003;). Isolation from blood culture of a Leclercia adecarboxylata strain producing an SHV-12 extended-spectrum β-lactamase. . J Clin Microbiol 41:, 1738–1739. [CrossRef][PubMed]
    [Google Scholar]
  18. Shin G. W., You M. J., Lee H. S., Lee C. S.. ( 2012;). Catheter-related bacteremia caused by multidrug-resistant Leclercia adecarboxylata in a patient with breast cancer. . J Clin Microbiol 50:, 3129–3132. [CrossRef][PubMed]
    [Google Scholar]
  19. Tamura K., Sakazaki R., Kosako Y., Yoshizaki E.. ( 1986;). Leclercia adecarboxylata gen. nov., comb. nov., formerly known as Escherichia adecarboxylata. . Curr Microbiol 13:, 179–184. [CrossRef]
    [Google Scholar]
  20. Temesgen Z., Toal D. R., Cockerill F. R. III. ( 1997;). Leclercia adecarboxylata infections: case report and review. . Clin Infect Dis 25:, 79–81. [CrossRef][PubMed]
    [Google Scholar]
  21. Vascular Access Work Group ( 2006;). Clinical practice guidelines for vascular access. . Am J Kidney Dis 48: (Suppl 1), S248–S273. [CrossRef][PubMed]
    [Google Scholar]
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