Kluyvera ascorbata: An Unusual Cause of Septic Shock in a Patient With Urothelial Cancer
Open accessAbstract
Kluyvera ascorbata is a gram-negative bacillus which is a rare cause of clinically significant infections in humans. We report a rare case of K. ascorbata infection causing septic shock in a patient with a history of urothelial cancer. After the antimicrobial susceptibility testing, the patient was successfully treated with ceftriaxone. Recognition of the disease-producing potential of this rare pathogen with prompt initiation of effective antimicrobial coverage is paramount for appropriate management in the adult immunocompromised population. To our knowledge, this is the first case report of septic shock secondary to K. ascorbata urinary tract infection.
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K. ascorbata has been implicated in septic shock, urinary tract infections, and biliary tract infections.
“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 [48]
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Research works printed but not linked: 5
- Karadağ Öncel E, Özsürekci Y, Akyön Y, Gür D, Cengiz AB, Kara A. Kluyvera ascorbata infections in children: a case series. Turk Pediatri Ars. 2015, 50:123-8. 10.5152/tpa.2015.923 · DOI
- Sarria JC, Vidal AM, Kimbrough RC 3rd. Infections caused by Kluyvera species in humans. Clin Infect Dis. 2001, 33:E69-74. 10.1086/322686 · DOI
- Farmer JJ 3rd, Fanning GR, Huntley-Carter GP, Holmes B, Hickman FW, Richard C, Brenner DJ. Kluyvera, a new (redefined) genus in the family Enterobacteriaceae: identification of Kluyvera ascorbata sp. nov. and Kluyvera cryocrescens sp. nov. in clinical specimens. J Clin Microbiol. 1981, 13:919-33. 10.1128/jcm.13.5.919-933.1981 · DOI
- 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. 10.1155/2017/3848963 · DOI · Paper page
- Inoue T, Hadano Y, Koga H, et al.. Kluyvera intermedia bacteremia with septic shock: a case report. IDCases. 2023, 32:e01765. 10.1016/j.idcr.2023.e01765 · DOI
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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
- Authors
- Akiki, M., Ali, R., Jamil, A., Slim, J., & Miller, R.
- Affiliations
- Saint Michael's Medical Center (US)
- Corresponding author
- Akiki, Maria
- Venue
- Cureus
- Published
- 2023-12-25
- Volume
- 15
- Issue
- 12
- Pages
- e51057-e51057
- ISSN
- 2168-8184 (ISSN-L)
- PMC
- PMC10806381
- OpenAlex
- W4390196925
- Cited by
- 6
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Cureus (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Microbiology (medical) › Infections and bacterial resistance
- Health Sciences › Medicine › Urology › Urinary Tract Infections Management
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
- Keywords
- Kluyvera ascorbata, septic shock, urothelial carcinoma, urinary tract infection, Gram-negative bacilli, ceftriaxone, antimicrobial susceptibility, immunocompromised patients, rare bacterial infection
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