Enterococcus casseliflavus, Streptococcus equinus and Klebsiella oxytoca septicaemia associated with perinephric haematoma in a post-liver transplant patient with allograft cirrhosis.

Abstract

Liver transplant recipients are immunocompromised by the virtue of being on immunosuppressive agents which put them at risk of having infections from unusual and even multiple concomitant pathogens. We present a case of a 39-year-old man who developed septicaemia with Enterococcus casseliflavus, Streptococcus equinus and Klebsiella oxytoca in the setting of perinephric haematoma which resulted following a kidney biopsy performed to evaluate his nephrotic range proteinuria. E. casseliflavus has been known to cause infections in patients with liver disease/cirrhosis; however, simultaneous infection with S. equinus and K. oxytoca along with E. casseliflavus has never been reported earlier in post-transplant state.

• Authors: Rajiv Prakash Heda, Yolanda Savage, Satheesh P Nair, Rajanshu Verma
• Journal: BMJ case reports (BMJ Case Rep) Vol. 12 Issue 8 (Aug 28 2019) ISSN: 1757-790X [Electronic] England
• PMID: 31466981 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Chemical References

• Anti-Bacterial Agents
• Immunosuppressive Agents

Topics

• Adult
• Allografts (pathology)
• Anti-Bacterial Agents (administration & dosage, therapeutic use)
• Biopsy (adverse effects)
• Drainage (methods)
• Enterococcus (isolation & purification)
• Hematoma (etiology, surgery)
• Humans
• Immunocompromised Host
• Immunosuppressive Agents (adverse effects)
• Infusions, Intravenous
• Kidney (diagnostic imaging, microbiology, pathology)
• Kidney Diseases (complications, diagnostic imaging, microbiology, pathology)
• Klebsiella oxytoca (isolation & purification)
• Liver Cirrhosis (complications)
• Liver Transplantation (adverse effects)
• Male
• Proteinuria (diagnosis)
• Sepsis (complications, drug therapy, microbiology)
• Streptococcus (isolation & purification)
• Streptococcus bovis
• Treatment Outcome