Korean J Crit Care Med.  2015 Aug;30(3):180-183. 10.4266/kjccm.2015.30.3.180.

Septic Shock due to Unusual Pathogens, Comamonas testosteroni and Acinetobacter guillouiae in an Immune Competent Patient

• Kim HJ
• Lee Y
• Oh K
• Choi SH
• Sung H
• Huh JW

• KMID: 2227646
• DOI: http://doi.org/10.4266/kjccm.2015.30.3.180

Abstract

Comamonas testosteroni and Acinetobacter guillouiae are gram-negative bacilli of low virulence that are widely distributed in nature and normal flora. Despite their common occurrence in environments, they rarely cause infectious disease. We experienced a case of septic shock by C. testosterone and A. guillouiae, and isolated them by 16S ribosomal RNA sequencing method from the blood cultures of a previous healthy female during postoperative supportive care. This is the first case of septic shock required ventilator care and continuous renal replacement therapy due to these organisms in Korea.

Keyword

Acinetobacter; bacteremia; Comamonas testosteroni; shock, septic

MeSH Terms

Acinetobacter*
Bacteremia
Comamonas testosteroni*
Comamonas*
Communicable Diseases
Female
Humans
Korea
Renal Replacement Therapy
RNA, Ribosomal, 16S
Shock, Septic*
Testosterone
Ventilators, Mechanical
Virulence
RNA, Ribosomal, 16S
Testosterone

Figure

• 

  Fig. 1. (A) Chest radiograph on arriving at emergency department shows no evidence of pulmonary infiltration. (B) Chest radiograph on forth hospital day shows that bilateral dense consolidation and intubated state. (C) On discharge, chest radiograph shows bilateral consolidation is resolved.

Reference

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