Abstract
A 46-year-old woman was transferred to our emergency unit because of impaired consciousness and respiratory failure with the history of excessive pesticide intake. The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase. She was intubated and treated in the intensive care unit with the diagnosis of organophosphorus poisoning. The patient had persisted diarrhea, with a high fever and stomach tenderness on day 10. Whole-body contrast enhanced computed tomography revealed a swollen, enhanced small intestinal wall, and blood culture identified Delftia acidovorans. She was diagnosed as D. acidovorans bacteremia, probably caused by bacterial translocation based on the clinical presentation and the exclusion of other sources, and treated well with a total of 8 days of antibiotic therapy. So far as we know, this is the first case of D. acidovorans bacteremia that was presumably caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient.
| Original language | English |
|---|---|
| Pages (from-to) | 338-341 |
| Number of pages | 4 |
| Journal | Journal of Infection and Chemotherapy |
| Volume | 19 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Apr 2013 |
| Externally published | Yes |
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Keywords
- Bacteremia
- Bacterial translocation
- Delftia acidovorans
- Organophosphorus poisoning
- Surface-active agent
ASJC Scopus subject areas
- Microbiology (medical)
- Pharmacology (medical)
- Infectious Diseases
Cite this
Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient. / Hagiya, Hideharu; Murase, Tomoko; Sugiyama, Junichi; Kuroe, Yasutoshi; Nojima, Hiroyoshi; Naito, Hiromichi; Hagioka, Shingo; Morimoto, Naoki.
In: Journal of Infection and Chemotherapy, Vol. 19, No. 2, 04.2013, p. 338-341.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient
AU - Hagiya, Hideharu
AU - Murase, Tomoko
AU - Sugiyama, Junichi
AU - Kuroe, Yasutoshi
AU - Nojima, Hiroyoshi
AU - Naito, Hiromichi
AU - Hagioka, Shingo
AU - Morimoto, Naoki
PY - 2013/4
Y1 - 2013/4
N2 - A 46-year-old woman was transferred to our emergency unit because of impaired consciousness and respiratory failure with the history of excessive pesticide intake. The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase. She was intubated and treated in the intensive care unit with the diagnosis of organophosphorus poisoning. The patient had persisted diarrhea, with a high fever and stomach tenderness on day 10. Whole-body contrast enhanced computed tomography revealed a swollen, enhanced small intestinal wall, and blood culture identified Delftia acidovorans. She was diagnosed as D. acidovorans bacteremia, probably caused by bacterial translocation based on the clinical presentation and the exclusion of other sources, and treated well with a total of 8 days of antibiotic therapy. So far as we know, this is the first case of D. acidovorans bacteremia that was presumably caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient.
AB - A 46-year-old woman was transferred to our emergency unit because of impaired consciousness and respiratory failure with the history of excessive pesticide intake. The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase. She was intubated and treated in the intensive care unit with the diagnosis of organophosphorus poisoning. The patient had persisted diarrhea, with a high fever and stomach tenderness on day 10. Whole-body contrast enhanced computed tomography revealed a swollen, enhanced small intestinal wall, and blood culture identified Delftia acidovorans. She was diagnosed as D. acidovorans bacteremia, probably caused by bacterial translocation based on the clinical presentation and the exclusion of other sources, and treated well with a total of 8 days of antibiotic therapy. So far as we know, this is the first case of D. acidovorans bacteremia that was presumably caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient.
KW - Bacteremia
KW - Bacterial translocation
KW - Delftia acidovorans
KW - Organophosphorus poisoning
KW - Surface-active agent
UR - http://www.scopus.com/inward/record.url?scp=84880703345&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880703345&partnerID=8YFLogxK
U2 - 10.1007/s10156-012-0472-x
DO - 10.1007/s10156-012-0472-x
M3 - Article
C2 - 22992836
AN - SCOPUS:84880703345
VL - 19
SP - 338
EP - 341
JO - Journal of Infection and Chemotherapy
JF - Journal of Infection and Chemotherapy
SN - 1341-321X
IS - 2
ER -