Infect Chemother.  2010 Dec;42(6):428-430. 10.3947/ic.2010.42.6.428.

A Case of Providencia rettgeri Sepsis in a Patient with Cervical Cord Injury

• Cho HJ
• Lim SJ
• Chun SY
• Park KO
• Lee SH
• Park JW
• Lee JS
• Eom JS

• KMID: 2170326
• DOI: http://doi.org/10.3947/ic.2010.42.6.428

Abstract

Providencia rettgeri is a member of Enterobacteriacea that is known to cause urinary tract infection (UTI), septicemia, and wound infections, especially in immunocompromised patients and in those with indwelling urinary catheters. We experienced a case of UTI sepsis by Providencia rettgeri in a patient with spinal cord injury. The patient had only high fever without urinary symptoms or signs after high dose intravenous methylprednisolone. The laboratory results showed leukocytosis (21,900/microL, segmented neutrophils 91.1%) and pyuria. Cefepime was given empirically and it was switched to oral trimethoprim-sulfamethoxazole because P. rettgeri was identified from blood and urine culture which was susceptible to TMP-SMX. The patient was improved clinically but P. rettgeri was not eradicated microbiologically. To the best of our knowledge, this is the first case report on sepsis caused by Providencia rettgeri in Korea.

Keyword

Providencia rettgeri; Sepsis; Urinary tract infection

MeSH Terms

Cephalosporins
Fever
Humans
Immunocompromised Host
Korea
Leukocytosis
Methylprednisolone
Neutrophils
Providencia
Pyuria
Sepsis
Spinal Cord Injuries
Trimethoprim, Sulfamethoxazole Drug Combination
Urinary Catheters
Urinary Tract Infections
Wound Infection
Cephalosporins
Methylprednisolone

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