The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Urosepsis caused by Kluyvera Ascorbata in a Pregnant Woman
Open accessAbstract
Among the Kluyvera species, K. ascorbata has been isolated from only a few adult cases. Furthermore, there is little or no information in the literature as to whether the species of Kluyvera can cause a clinically significant infection in pregnant women. We report a case of urosepsis caused by K. ascorbata in a 23-year pregnant woman at 26 weeks of gestation who presented with left flank pain. Ultrasonography showed left grade 3 hydronephrosis, ureteral dilatation, and a 10-mm distal ureteral stone. The patient underwent laser lithotripsy and JJ placement. Ten days later, she was readmitted with urosepsis and empirical antibiotherapy and aggressive hydration were initiated. On the third day, K. ascorbata growth was detected in the urine culture. Based on the clinical status of the patient and the antimicrobial susceptibility testing, the treatment was switched to ertapenem 1×1 g/day and was continued for 14 days. Among the Kluyvera species, K. ascorbata is the most frequent pathogen which may be isolated from pregnant women and can cause urosepsis. To the best of authors' knowledge, this is the first report showing the isolation of K. ascorbata in a pregnant woman which caused urosepsis.
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“K. ascorbata is recognized as an opportunistic pathogen with a rising incidence [46] and has been implicated in septic shock [47,48], urinary tract infections [47,49], and biliary tract infections [50].”
From Microbiological Quality of Coconut Water Sold in the Grande Vitória Region, Brazil, and Phenogenotypic Antimicrobial Resistance of Associated Enterobacteria (2024) · cites this paper as [49]
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Kourtis, A. P., Read, J. S., & Jamieson, D. J. (2014) · New England Journal of Medicine · doi:10.1056/nejmra1213566 · Cited by 850
Prospects for a Natural System of Classification of Bacteria.
Kluyver, A. J., & van Niel, C. B. (1936) · Zentralblatt fur Bakteriologie, Parasitenkunde, Infektionskrankheiten und Hygiene · Cited by 242
Farmer, J. J., Fanning, G. R., Huntley-Carter, G. P., Holmes, B., Hickman, F. W., Richard, C., & Brenner, D. J. (1981) · Journal of Clinical Microbiology · doi:10.1128/jcm.13.5.919-933.1981 · Cited by 145
West, B. C., Vijayan, H., & Shekar, R. (1998) · Diagnostic Microbiology and Infectious Disease · doi:10.1016/s0732-8893(98)00087-x · Cited by 35
Isozaki, A., Shirai, K., Mimura, S., et al. (2010) · Journal of Infection and Chemotherapy · doi:10.1007/s10156-010-0067-3 · Cited by 19
Kluyvera ascorbata infections in children: a case series
Öncel, E. K., Özsürekçi, Y., Akyön, Y., et al. (2015) · Türk Pediatri Arşivi · doi:10.5152/tpa.2015.923 · Cited by 17
Torre, D., Crespi, E., Bernasconi, M., et al. (2005) · Scandinavian Journal of Infectious Diseases · doi:10.1080/00365540410021180-1 · Cited by 15
Kluyvera ascorbata sepsis in an extremely low birth weight infant
Sharma, D. K., Dasi, T., Murki, S., et al. (2015) · Indian Journal of Medical Microbiology · doi:10.4103/0255-0857.158585 · Cited by 14
Persistent fever during treatment of a pregnant woman with acute pyelonephritis
Gözdaş, H. T., & Dinek, M. (2016) · Journal of Acute Disease · doi:10.12980/jad.6.2017joad_2016_63 · Cited by 2
Research works printed but not linked: 4
- [2]2. Kluyvera ascorbata Journal of the College of Physicians and Surgeons Pakistan 2020, Vol. 30 (3): 324-326
- [4]4. Carter JE, Evans TN. Clinically significant Kluyvera infections: A report of seven cases. Am J Clin Pathol 2005; 123:334-8.
- [7]7. Sarria JC, Vidal AM, Kimbrough RC. Infections caused by Kluyvera species in humans. Clin Infect Dis 2001; 33:69-74.
- [11]11. Alfreijat M. A case of urinary tract infection and severe sepsis caused by kluyvera ascorbata in a 73-year-old female with a brief literature review. Case Rep Infect Dis 2017; 2017: 3848963.
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Sorted by citations
Genomic Characteristion of Opportunistic Pathogen Kluyvera Reveals a Novel CTX-M Subgroup
Yu, K., Huang, Z., Lan, R., Morris, J. G., Xiao, Y., Fu, S., Gao, H., Bai, X., Li, K., & Wang, D. (2023) · Microorganisms · doi:10.3390/microorganisms11122836 · Cited by 12
Peterle, V. M., Cardoso, J. A. B., Ferraz, C. M., Sousa, D. F. D., Pereira, N., Nassar, A. F. D. C., Castro, V., Mathias, L. A., Cardozo, M. V., & Rossi, G. A. M. (2024) · Microorganisms · doi:10.3390/microorganisms12091883
“K. ascorbata is recognized as an opportunistic pathogen with a rising incidence [46] and has been implicated in septic shock [47,48], urinary tract infections [47,49], and biliary tract infections [50].”
Background
Metadata
- Authors
- Erbin, A., Gozdas, H., Guler, Y., & Canat, H.
- Affiliations
- Haseki Eğitim ve Araştırma Hastanesi (TR)
- Okmeydanı Eğitim ve Araştırma Hastanesi (TR)
- Corresponding author
- Erbin, Akif
- Venue
- Journal of the College of Physicians and Surgeons Pakistan
- Published
- 2020-03-01
- Volume
- 30
- Issue
- 03
- Pages
- 324-326
- ISSN
- 1022-386X (ISSN-L)
- 1681-7168
- OpenAlex
- W3011799446
- Cited by
- 9
- References
- 9
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 1
- FWCI
- 0.18
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Journal of College of Physicians And Surgeons Pakistan (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Urology › Urinary Tract Infections Management
- Health Sciences › Medicine › Microbiology (medical) › Infections and bacterial resistance
- Health Sciences › Medicine › Microbiology (medical) › Bacterial Identification and Susceptibility Testing
- Keywords
- Kluyvera ascorbata, urosepsis, pregnancy, urinary tract infection, hydronephrosis, ureteral stones, ertapenem, antimicrobial susceptibility
- MeSH terms
- Enterobacteriaceae Infections, Female, Humans, Pregnancy, Pregnancy Complications, Infectious, Urinary Tract Infections, Sepsis, Kluyvera, Young Adult
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