1
|
Bronte Anaut M, Arredondo Montero J, García Abellás P, de Uribe Viloria M, Regojo Zapata RM. Fulminant Sepsis Caused by Leclercia adecarboxylata in a Premature Neonate: Case Report and Review of the Literature. Pediatr Infect Dis J 2022; 41:e220-e222. [PMID: 35135996 DOI: 10.1097/inf.0000000000003472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Hospital-acquired infections are especially evident in premature infants because of prolonged stays and the need for invasive procedures. Leclercia adecarboxylata is an uncommon emerging Gram-negative bacterium that has been described in catheter and noncatheter-related infections, immunocompromised patients and less frequently affecting healthy subjects. We report a case with a postmortem diagnosis of a 24-week-old premature neonate who died as a complication of nosocomial sepsis related to an infection by L. adecarboxylata. Although the cases of L. adecarboxylata infection in children have been rarely reported, this case appears to be the first in which an infection by L. adecarboxylata is accompanied by focal spontaneous ileal perforation.
Collapse
|
2
|
Hassan I, Gupta P, Ray P, Tiewsoh K. Leclercia adecarboxylata Causing Spontaneous Bacterial Peritonitis in a Child with Nephrotic Syndrome: A Case Report and Review of Literature. J Lab Physicians 2020; 12:222-224. [PMID: 33268941 PMCID: PMC7684983 DOI: 10.1055/s-0040-1721162] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Infection is an important complication of childhood nephrotic syndrome (NS) and spontaneous bacterial peritonitis (SBP) is a frequently encountered one. We present a 7-year-old boy with NS who had decreased urine output, generalized body swelling, and abdominal pain. Urine analysis showed proteinuria of 50 mg/m
2
/d. Ascitic tap showed total leukocyte count of 100 cells/mm
3
, sugar of 67 mg/dL, and protein of 1.1 g/dL. Gram stain revealed gram-negative bacilli with pus cells and culture grown
Leclercia adecarboxylata
(LAD). LAD was identified using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) with an identification score of 2.0. The organism showed good susceptibility to common antibiotics. The boy had no direct contact with livestock and the source of infection remains speculative. Devitalized skin because of massive edema seems to be the most plausible site of entry for the organism. Our patient was started on ceftriaxone and improved. LAD is a rare opportunistic pathogen, which belongs to
Enterobacteriaceae
and usually causes soft tissue infections. As far as we know, this is the first case where it has caused peritonitis in a child with NS. We also reviewed other pediatric cases.
Collapse
Affiliation(s)
- Ijas Hassan
- Division of Pediatric Nephrology, Department of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India
| | - Parakriti Gupta
- Department of Microbiology, Research Block-A, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Pallab Ray
- Department of Microbiology, Research Block-A, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Karalanglin Tiewsoh
- Division of Pediatric Nephrology, Department of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India
| |
Collapse
|
3
|
Keyes J, Johnson EP, Epelman M, Cadilla A, Ali S. Leclercia adecarboxylata: An Emerging Pathogen Among Pediatric Infections. Cureus 2020; 12:e8049. [PMID: 32537268 PMCID: PMC7286590 DOI: 10.7759/cureus.8049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Leclercia adecarboxylata is a gram-negative bacillus of the Enterobacteriaceae family. It is a rare human pathogen that is often acquired via wound and/or contact with aquatic environment. Although multiple cases of L. adecarboxylata infections are described in the adult population, few have been documented in pediatrics. We will present two cases of L. adecarboxylata infections in the pediatric population. The first is a case of cellulitis in an 11-year-old male patient after a penetrating wound. The second is a first-documented urinary tract infection in a 16-year-old male patient with chronic kidney disease. Both patients were successfully treated with antibiotics and surgical intervention, if necessary. These cases highlight the growing emergence of this bacterium in the pediatric population and the need to become more aware of its threat even in patients who are immunocompetent.
Collapse
Affiliation(s)
- Jonathan Keyes
- Internal Medicine, University of Central Florida College of Medicine, Orlando, USA
| | - Evan P Johnson
- Orthopaedics, University of Central Florida College of Medicine, Orlando, USA
| | - Monica Epelman
- Radiology, Nemours Children's Hospital/University of Central Florida College of Medicine, Orlando, USA
| | - Adriana Cadilla
- Infectious Disease, Nemours Children's Hospital, Orlando, USA
| | - Syed Ali
- Inpatient Pediatrics, Nemours Children's Hospital, Orlando, USA
| |
Collapse
|
4
|
Spiegelhauer MR, Andersen PF, Frandsen TH, Nordestgaard RLM, Andersen LP. Leclercia adecarboxylata: a case report and literature review of 74 cases demonstrating its pathogenicity in immunocompromised patients. Infect Dis (Lond) 2018; 51:179-188. [PMID: 30488747 DOI: 10.1080/23744235.2018.1536830] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Leclercia adecarboxylata is a Gram-negative bacterium belonging to the family Enterobacteriaceae. It has been described as an emerging human pathogen with the potential to cause severe infection in immunocompromised patients. The aim of this study was to describe a clinical case of infection with L. adecarboxylata and give a review of previous reports on infection. We report the presence of L. adecarboxylata in a patient initially admitted to our hospital for a lung transplant. She had diarrhoea, urinary tract infection and pneumonia caused by L. adecarboxylata. The isolate was resistant to trimethoprim-sulfamethoxazole and susceptible to 15 other antibiotics tested. The literature search for previous reports of infection with L. adecarboxylata resulted in 61 publications describing 74 cases. Bacteremia and wound infections were most often described, and only a few cases were fatal. L. adecarboxylata was most often found as a monomicrobial infection in immunocompromised patients, and as part of a polymicrobial infection in immunocompetent patients. The previously described isolates showed a high susceptibility to antibiotics, and treatment was efficient in most cases. Due to similarities in metabolic products, L. adecarboxylata might have been mistaken as Escherichia spp., but with new identification methods such as MALDI-TOF MS, it is possible to obtain a certain identification.
Collapse
Affiliation(s)
- Malene Roed Spiegelhauer
- a Department of Clinical Microbiology , Copenhagen University Hospital (Rigshospitalet) , Copenhagen , Denmark
| | - Peter Fruergaard Andersen
- b Department of Cardiothoracic Surgery , Copenhagen University Hospital (Rigshospitalet) , Copenhagen , Denmark
| | - Tove Havnhøj Frandsen
- a Department of Clinical Microbiology , Copenhagen University Hospital (Rigshospitalet) , Copenhagen , Denmark
| | | | - Leif Percival Andersen
- a Department of Clinical Microbiology , Copenhagen University Hospital (Rigshospitalet) , Copenhagen , Denmark
| |
Collapse
|
5
|
Choudhary M, Choudhary BK, Bhoyar S, Kale SB, Chaudhari SP, Bera BC, Jain A, Barbuddhe SB. Isolation and characterization of multidrug-resistant Leclercia species from animal clinical case. Lett Appl Microbiol 2017; 66:44-48. [PMID: 29063630 DOI: 10.1111/lam.12811] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 10/17/2017] [Accepted: 10/17/2017] [Indexed: 01/28/2023]
Abstract
Leclercia adecarboxylata, a Gram-negative bacillus of family Enterobacteriaceae, is an uncommonly identified pathogen isolated from environmental and clinical specimens. Most of the human infections are polymicrobial and commonly occur in immunocompromised hosts, although nosocomial infections in immunocompetent hosts have been documented. Here, we describe the case of isolation of Leclercia species as polymicrobial infection from bovine suffering from respiratory distress in Chhattisgarh state of India. The isolates were identified by their phenotypes, 16S rDNA sequencing and MALDI-TOF-MS. The isolate was found to be resistant to aminoglycosides and fluoroquinolone antibiotics and intermediate resistant to cephalosporins and evidenced for uncertain clinical relevance and could act as hidden source of public health hazard. SIGNIFICANCE AND IMPACT OF THE STUDY Leclercia adecarboxylata is a rarely reported human pathogen. We report here the case from bovine suffering from respiratory distress; the sample yielded Leclercia species as polymicrobial culture. The isolate was found to be multidrug resistant and evidenced for uncertain clinical relevance and could act as hidden source of public health hazard. The limited literature available on this organism is reviewed, and the potential implications of findings are discussed. To the best of our knowledge, this is the first report of isolation and characterization of multidrug-resistant Leclercia species from animal clinical case from India.
Collapse
Affiliation(s)
- M Choudhary
- ICAR-National Institute of Biotic Stress Management, Raipur, India
| | - B K Choudhary
- ICAR-National Institute of Biotic Stress Management, Raipur, India
| | - S Bhoyar
- Centre for Zoonoses, Department of Veterinary Public Health, Nagpur Veterinary College, Maharashtra Animal and Fishery Sciences University, Nagpur, India
| | - S B Kale
- Centre for Zoonoses, Department of Veterinary Public Health, Nagpur Veterinary College, Maharashtra Animal and Fishery Sciences University, Nagpur, India
| | - S P Chaudhari
- Centre for Zoonoses, Department of Veterinary Public Health, Nagpur Veterinary College, Maharashtra Animal and Fishery Sciences University, Nagpur, India
| | - B C Bera
- ICAR- National Centre for Veterinary Type Cultures, National Research Centre on Equines, Hisar, India
| | - A Jain
- Livestock Development Department, Mohala, Rajnandgaon, 491 666, India
| | - S B Barbuddhe
- ICAR-National Institute of Biotic Stress Management, Raipur, India
| |
Collapse
|
6
|
Chao CT, Hung PH, Huang JW, Tsai HB. Cycler cassette rupture with Leclercia adecarboxylata peritoneal dialysis peritonitis. Perit Dial Int 2014; 34:131-2. [PMID: 24525603 DOI: 10.3747/pdi.2012.00253] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- C T Chao
- Department of Traumatology1 Internal Medicine2 National Taiwan University Hospital Taipei, Taiwan Department of Internal Medicine3 Ditmanson Medical Foundation Chia-yi Christian Hospital Chia-yi, Taiwan
| | | | | | | |
Collapse
|
7
|
Abstract
Leclercia adecarboxylata infection is rarely reported in the context of human infections. In the scant cases reported in the literature, it usually involves individuals who are immunocompromised with infections of a polymicrobial nature. Recently, data have begun to accumulate suggesting that L. adecarboxylata is a pathogen associated with water environments. We review the literature regarding L. adecarboxylata infections and present a case of cellulitis and soft-tissue infection in the foot of a healthy surfer.
Collapse
|
8
|
Lee KI, Chung SK, Hwang HB. A Case of Corneal Ulcer Caused by Leclercia Adecarboxylata. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2014. [DOI: 10.3341/jkos.2014.55.6.918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Kee Il Lee
- Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Sung Kun Chung
- Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Hyung Bin Hwang
- Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea
| |
Collapse
|
9
|
Jean SS, Lee WS, Bai KJ, Lam C, Hsu CW, Chen RJ, Hsueh PR. Leclercia adecarboxylata bacteremia in a patient with long-term use of nonsteroidal anti-inflammatory drugs. JOURNAL OF MICROBIOLOGY, IMMUNOLOGY, AND INFECTION = WEI MIAN YU GAN RAN ZA ZHI 2013; 49:452-4. [PMID: 24183991 DOI: 10.1016/j.jmii.2013.09.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2013] [Accepted: 09/10/2013] [Indexed: 01/04/2023]
Abstract
Leclercia adecarboxylata, a ubiquitous Gram-negative bacillus, is generally viewed as an opportunistic pathogen because it is rarely cultured from clinical samples. Although rare, bacteremia due to L. adecarboxylata tends to occur in immunocompromised hosts and patients with systemic comorbidities. Only one case of bacteremia due to L. adecarboxylata has been reported in a previously healthy patient. We describe a male patient with an active peptic ulcer who developed L. adecarboxylata bacteremia after a long-term use of nonsteroidal anti-inflammatory drugs. The abdomen is believed to have been the most probable portal of entry. After appropriate medical management, the patient recovered without sequela.
Collapse
Affiliation(s)
- Shio-Shin Jean
- Department of Emergency Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Wen-Sen Lee
- Division of Infectious Diseases, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Kuan-Jen Bai
- Department of Pulmonary and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Carlos Lam
- Department of Emergency Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Chin-Wang Hsu
- Department of Emergency and Critical Medicine, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan
| | - Ray-Jade Chen
- Departments of Emergency and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Po-Ren Hsueh
- Departments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
| |
Collapse
|
10
|
Nelson MU, Maksimova Y, Schulz V, Bizzarro MJ, Gallagher PG. Late-onset Leclercia adecarboxylata sepsis in a premature neonate. J Perinatol 2013; 33:740-2. [PMID: 23986093 DOI: 10.1038/jp.2013.34] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2013] [Accepted: 02/15/2013] [Indexed: 12/22/2022]
Abstract
The epidemiology, etiology and outcome of neonatal sepsis are changing over time. While monitoring longitudinal trends in neonatal sepsis in our institution, we encountered a case of late-onset neonatal sepsis due to Leclercia adecarboxylata. A Gram-negative rod previously not encountered in the clinical setting, L. adecarboxylata has recently emerged as a human pathogen, primarily in immunosuppressed patients. This report describes the clinical and laboratory features of this case of late-onset L. adecarboxylata sepsis, and reviews significant features of infection associated with this emerging pathogen.
Collapse
Affiliation(s)
- M U Nelson
- Division of Perinatal Medicine, Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520, USA
| | | | | | | | | |
Collapse
|
11
|
De Mauri A, Chiarinotti D, Andreoni S, Molinari GL, Conti N, De Leo M. Leclercia adecarboxylata and catheter-related bacteraemia: review of the literature and outcome with regard to catheters and patients. J Med Microbiol 2013; 62:1620-1623. [PMID: 23882033 DOI: 10.1099/jmm.0.059535-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Infection is a common complication in patients carrying a central venous catheter (CVC) and is associated with increased morbidity and mortality. Leclercia adecarboxylata is an unusual but emerging pathogen in healthy and immunocompromised patients. We report a case of L. adecarboxylata 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 L. adecarboxylata 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.
Collapse
Affiliation(s)
- Andreana De Mauri
- Nephrology and Dialysis Unit, University Hospital 'Maggiore della Carità', Novara, Italy
| | - Doriana Chiarinotti
- Nephrology and Dialysis Unit, University Hospital 'Maggiore della Carità', Novara, Italy
| | - Stefano Andreoni
- Microbiology and Virology Laboratory, University Hospital 'Maggiore della Carità', Novara, Italy
| | - Gian Lorenzo Molinari
- Microbiology and Virology Laboratory, University Hospital 'Maggiore della Carità', Novara, Italy
| | - Novella Conti
- Nephrology and Dialysis Unit, University Hospital 'Maggiore della Carità', Novara, Italy
| | - Martino De Leo
- Nephrology and Dialysis Unit, University Hospital 'Maggiore della Carità', Novara, Italy
| |
Collapse
|
12
|
Forrester JD, Adams J, Sawyer RG. Leclercia adecarboxylata bacteremia in a trauma patient: case report and review of the literature. Surg Infect (Larchmt) 2012; 13:63-6. [PMID: 22217232 DOI: 10.1089/sur.2010.093] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Leclercia adecarboxylata is a rarely described gram-negative pathogen. Since the advent of rapid molecular typing techniques, L. adecarboxylata has been described in 23 case reports, often associated with polymicrobial infections or in immunosuppressed hosts. METHODS A case is described and previous cases of L. adecarboxylata infection are reviewed. CASE REPORT A 55-year old male victim of trauma developed septic shock several days after presentation to the emergency department. Blood and central vein catheter cultures grew L. adecarboxylata; Haemophilus influenzae and Streptococcus pneumoniae were present in bronchoalveolar lavage samples. With aggressive hemodynamic and ventilator support in addition to antibiotic therapy, the patient cleared the catheter-related blood stream infection. After a challenging intensive care unit stay, the patient eventually was discharged to an inpatient rehabilitation unit. CONCLUSION An L. adecarboxylata catheter-related blood stream infection developed in the setting of both underlying immunosuppression and polymicrobial infection. As molecular typing techniques continue to improve, L. adecarboxylata is likely to be an increasingly recognized gram-negative pathogen. Interactions between L. adecarboxylata infection, immunosuppression, and polymicrobial infections remain to be elucidated.
Collapse
Affiliation(s)
- Joseph Derek Forrester
- Department of Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.
| | | | | |
Collapse
|
13
|
Abstract
UNLABELLED Late-onset sepsis is a unique entity in the neonatal intensive care unit (NICU), as organisms involved are, by definition, nosocomial. As such, a limited number of microbes are characteristically involved. Leclercia adecarboxylata is a gram-negative bacillus rarely cultured in a clinical context, with the few published cases primarily involving immunocompromised adults. We present an ex-26-week newborn girl who developed late-onset sepsis with Leclercia adecarboxylata bacteraemia in the NICU. The infection was successfully treated with gentamicin and cefotaxime. This is the fifth paediatric report of Leclercia adecarboxylata infection, and the first in a neonate. The case raises the possibility that prior courses of antibiotics may have predisposed this individual to a rare infection essentially limited to immunocompromised individuals. CONCLUSION Leclercia adecarboxylata is a rare infection, particularly in immunocompetent individuals. In neonates, the clinical course can be good with timely initiation of appropriate antibiotics.
Collapse
Affiliation(s)
- K A Myers
- Department of Paediatrics, Division of Neurology, University of Calgary, Alberta Children's Hospital, Canada.
| | | | | |
Collapse
|
14
|
Shah A, Nguyen J, Sullivan LM, Chikwava KR, Yan AC, Treat JR. Leclercia adecarboxylata cellulitis in a child with acute lymphoblastic leukemia. Pediatr Dermatol 2011; 28:162-4. [PMID: 21385207 DOI: 10.1111/j.1525-1470.2011.01348.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Leclercia adecarboxylata is a rare, gram-negative rod that has been infrequently reported in the literature. The organism has been documented to cause solitary infections in immunocompromised hosts and polymicrobial wound infections in the immunocompetent. We present a case of an 8-year-old boy with significant past medical history of acute lymphoblastic leukemia who developed cellulitis due to local infection by L. adecarboxylata. This case is presented to raise awareness of this rare organism's ability to cause common cutaneous disease, especially in the immunocompromised.
Collapse
Affiliation(s)
- Avnee Shah
- Department of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
| | | | | | | | | | | |
Collapse
|
15
|
Fernández-Ruiz M, López-Medrano F, García-Sánchez L, García-Reyne A, Solo TOD, Sanz-Sanz F, Aguado JM. Successful management of tunneled hemodialysis catheter-related bacteremia by Leclercia adecarboxylata without catheter removal: report of two cases. Int J Infect Dis 2009; 13:e517-8. [DOI: 10.1016/j.ijid.2009.01.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2008] [Accepted: 01/28/2009] [Indexed: 10/20/2022] Open
|
16
|
Isolation of Leclercia adecarboxylata from blood and burn wound after a hydrofluoric acid chemical injury. Burns 2009; 35:443-5. [DOI: 10.1016/j.burns.2008.01.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2007] [Accepted: 01/21/2008] [Indexed: 11/15/2022]
|
17
|
Abstract
Leclercia adecarboxylata, a motile, gram-negative bacillus of the enterobacteriaceae family, is rarely recovered as a pathogen. We report an exceptionally rare case of L. adecarboxylata endocarditis complicated by embolization of the kidney and spleen in a 48-year-old woman with endometrial cancer. After 4 weeks of antimicrobial treatment, she recovered without sequelae.
Collapse
|
18
|
Corti G, Mondanelli N, Losco M, Bartolini L, Fontanelli A, Paradisi F. Post-traumatic infection of the lower limb caused by rare Enterobacteriaceae and Mucorales in a young healthy male. Int J Infect Dis 2009; 13:e57-60. [DOI: 10.1016/j.ijid.2008.06.029] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2008] [Revised: 05/05/2008] [Accepted: 06/17/2008] [Indexed: 11/30/2022] Open
|
19
|
Lee W, Yi DY, Jung B, Huh JY, Kang MS, Hong SG, Hong SK. Two Cases of Independent Infection by Leclercia adecarboxylata. Infect Chemother 2009. [DOI: 10.3947/ic.2009.41.2.109] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Wookeun Lee
- Department of Laboratory Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| | - Dae Young Yi
- Department of Laboratory Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| | - Bochan Jung
- Department of Laboratory Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| | - Ji Young Huh
- Department of Laboratory Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| | - Myung Seo Kang
- Department of Laboratory Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| | - Seong Geun Hong
- Department of Laboratory Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| | - Sung Kwan Hong
- Department of Internal Medicine, School of Medicine, CHA University, Gyeonggi-do, Korea
| |
Collapse
|
20
|
Kim HM, Chon CY, Ahn SH, Jung SJ, Han KH, Moon BS, Moon YM. Fatal spontaneous bacterial peritonitis by Leclercia adecarboxylata in a patient with hepatocellular carcinoma. Int J Clin Pract 2008; 62:1296-8. [PMID: 18705825 DOI: 10.1111/j.1742-1241.2005.00780.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
|
21
|
Hess B, Burchett A, Huntington MK. Leclercia adecarboxylata in an immunocompetent patient. J Med Microbiol 2008; 57:896-898. [DOI: 10.1099/jmm.0.47673-0] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Affiliation(s)
- Benjamin Hess
- Center for Family Medicine, 1115 East Twentieth Street, Sioux Falls, SD 57105, USA
| | - Andrew Burchett
- McGreevy Clinic, 1200 South Seventh Avenue, Sioux Falls, SD 57105, USA
| | - Mark K. Huntington
- Center for Family Medicine, 1115 East Twentieth Street, Sioux Falls, SD 57105, USA
| |
Collapse
|
22
|
Jover-Sáenz A, Cerezo-Esforzado E, Barcenilla-Gaite F, Garrido-Calvo S, Porcel-Pérez JM. Leclercia Adecarboxylata Cholecystitis in a Patient with Metabolic Syndrome. Surg Infect (Larchmt) 2008; 9:411-2. [DOI: 10.1089/sur.2007.068] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Alfredo Jover-Sáenz
- Departments of Nosocomial, Infection and Internal Medicine, University Hospital Arnau de Vilanova and Family Physicians, Lleida, Spain
| | | | - Fernando Barcenilla-Gaite
- Department of Nosocomial Infection, University Hospital Arnau de Vilanova and Family Physicians, Lleida, Spain
| | | | - José Manuel Porcel-Pérez
- Department of Internal Medicine, University Hospital Arnau de Vilanova and Family Physicians, Lleida, Spain
| |
Collapse
|
23
|
Stock I, Burak S, Wiedemann B. Natural antimicrobial susceptibility patterns and biochemical profiles of Leclercia adecarboxylata strains. Clin Microbiol Infect 2004; 10:724-33. [PMID: 15301675 DOI: 10.1111/j.1469-0691.2004.00892.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Leclercia adecarboxylata is an opportunistic human pathogen that phenotypically resembles Escherichia coli. The natural susceptibilities of 101 Leclercia strains to 70 antimicrobial agents were investigated. MICs were determined with a microdilution procedure in cation-adjusted Mueller-Hinton broth (all strains) and IsoSensitest broth (some strains). Natural susceptibility patterns were assessed using German (DIN) standards (when applicable). In addition, biochemical properties recommended for the phenotypic identification of L. adecarboxylata were evaluated, applying two commercially available identification systems for Enterobacteriaceae and seven conventional tests. L. adecarboxylata strains were naturally sensitive to tetracyclines, aminoglycosides, all but two beta-lactams, quinolones, folate pathway inhibitors, chloramphenicol, nitrofurantoin and azithromycin. They were naturally resistant to penicillin G, oxacillin, erythromycin, roxithromycin, clarithromycin, ketolides, lincosamides, streptogramins, linezolid, glycopeptides, rifampicin, fusidic acid and fosfomycin. There were only minor medium-dependent differences in susceptibility to most antibiotics. Lysine decarboxylase, malonate assimilation and acid production from arabitol and cellobiose, but not from adonitol and sorbitol, allowed definitive separation of L. adecarboxylata from E. coli. The results of this study form a database that can be applied to validate forthcoming antibiotic susceptibility tests of L. adecarboxylata, and might contribute to its reliable identification. Susceptibility patterns did not indicate obvious therapeutic difficulties for treatment of Leclercia infections. Special attention should be paid to biochemically aberrant leclerciae. Apart from biochemical features, fosfomycin susceptibility might be useful to differentiate between L. adecarboxylata and E. coli.
Collapse
Affiliation(s)
- I Stock
- Institute of Medical Microbiology and Immunology, Pharmaceutical Microbiology, University of Bonn, D-53115 Bonn, Germany.
| | | | | |
Collapse
|
24
|
Beltrán A, Molinero AV, Capilla S, Polo AM, Vicente A. [Isolation of Leclercia adecarboxylata from wound exudate of a diabetic patient]. Med Clin (Barc) 2004; 122:159. [PMID: 14967103 DOI: 10.1016/s0025-7753(04)74180-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
25
|
Mazzariol A, Zuliani J, Fontana R, Cornaglia G. Isolation from blood culture of a Leclercia adecarboxylata strain producing an SHV-12 extended-spectrum beta-lactamase. J Clin Microbiol 2003; 41:1738-9. [PMID: 12682173 PMCID: PMC153879 DOI: 10.1128/jcm.41.4.1738-1739.2003] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
We report on the first isolation of an extended-spectrum beta-lactamase-producing Leclercia adecarboxylata strain from the bloodstream in a 58-year-old man with acute myeloid leukemia. The strain, resistant to ceftazidime, cefotaxime, and aztreonam, produces the SHV-12 beta-lactamase, one of the most common variants found in Italian nosocomial isolates of Enterobacteriaceae.
Collapse
Affiliation(s)
- Annarita Mazzariol
- Department of Pathology, Microbiology Section, University of Verona, Verona, Italy
| | | | | | | |
Collapse
|
26
|
Pérez-Moreno MO, Anguera J, Carulla M, Pérez-Moreno M. [Septic arthritis due to Leclercia adecarboxylata of probable iatrogenic origin]. Enferm Infecc Microbiol Clin 2003; 21:167-8. [PMID: 12586025 DOI: 10.1016/s0213-005x(03)72909-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|