Korean J Infect Dis.  1999 Apr;31(2):167-170.

Hickman Catheter-Associated Bacteremia by Leclercia adecarboxylata and Escherichia hermannii: A Case Report

• Lee NY
• Ki CS
• Kang WK
• Peck KR
• Kim S
• Song JH

Abstract

Leclercia adecarboxylata and Escherichia hermannii are motile, gram-negative facultative anaerobic bacilli which have rarely been isolated from environmental and clinical specimens. Although several cases of L. adecarboxylata or E. hermannii infections have been reported, a confirmed case of Hickman catheter-associated bacteremia has, to our knowledge, never been reported. A 69-year old woman completed her fourth schedule of chemotherapy for the treatment of leiomyosarcoma and was discharged without complication. However, she suffered from fever and chills for three weeks soon after the completion of chemotherapy and visited the emergency department. A Hickman catheter was promptly removed and the catheter tip was submitted to semiquantitative culture, as well as three sets of blood cultures from three different peripheral veins. Mixed growth of L. adecarboxylata and E. hermannii was isolated from Hickman catheter tip culture and all three sets of blood cultures.

Keyword

Leclercia adecarboxylata; Escherichia hermannii; Hickman catheter; Bacteremia

MeSH Terms

Aged
Appointments and Schedules
Bacteremia*
Catheters
Chills
Drug Therapy
Emergency Service, Hospital
Enterobacteriaceae*
Escherichia*
Female
Fever
Humans
Leiomyosarcoma
Veins