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Case ReportOpen Access

Corynebacterium Urealyticum Bacteremia in A Hemodialysis Patient with Perm Catheter Infection

Volume 9 - Issue 1

Kai Yao Yang1, Yen Cheng Yeh1, Chai Chao Wu2, Chih Chiang Wang1,2 and Chen Yi Liao*1,2

  • Author Information Open or Close
    • 1Department of Medicine, Kaohsiung Armed Forces General Hospital, Taiwan
    • 2Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taiwan

    *Corresponding author: Chen Yi Liao, Division of Nephrology, Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2, Zhongzheng 1st Road, Lingya Dist, Kaohsiung City 802, Taipei, Taiwan, Tel: +886-0929674696; Fax: +886-07-7490633; Email: ericliao0217@gmail.com

Received: April 07, 2018;   Published: September 12, 2018

DOI: 10.26717/BJSTR.2018.09.001735

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Abstract

Aim: The aim of this stud was to present a case with unusual Corynebacterium infection with recurrent perm catheter infection.

Back Ground: Corynebacterium urealyticum (Corynebacterium CDC group D2 bacterium) is an aerobic, catalase-positive, gram positive bacillus with the typical appearance of diphtheroids that is unable to acidify carbohydrate, has strong urease activity, and is resistant to multiple antibiotics. It has been associated mainly with infections of the urinary tract. The isolation of this organism in cases of other infection is highly unusual.

Case Description: A 72-year-old female perm catheter infection due to a case of C. urealyticum that had developed recurrent spiking fever while undergoing hemodialysis through the subclavian catheter site. The final wound and blood cultures yielded C. urealyticum, which was confirmed to be a catheter-related bloodstream infection.

Conclusion: Appropriate antibiotic therapy and immediately removal of perm catheter is of paramount importance in C. urealyticum catheter infection. Clinical significance: persistent perm site redness and unknown origin infection should always put in perm catheter infection in mind.

Keywords: Corynebacterium urealyticum; Perm catheter infection

Abstract | Background | Case Description | Discussion | Conclusion | References |