Nadir rastlanan bir bakteriyemi etkeni: Leuconostoc spp

İmmünsüpresif tedavi alan akut myelositik lösemili (AML) 53 yaşındaki kadın hastada tekrarlayan bakteriyemi atakları sonrasında, kan kültürü örneğinden Leuconostoc spp. izole edildi. Doğada yaygın olarak bulunan Leuconostoc spp. vankomisine doğal dirençli Gram pozitif bir bakteridir. Enfeksiyonlarda nadiren hastalık etkeni olarak soyutlansa da özellikle immünsüprese hastalarda çeşitli sistemik enfeksiyonlara neden olmaktadır. Bu olgu laboratuvarımızda ilk kez bakteriyemi etkeni olarak Leuconostoc spp izole edilmesinden dolayı sunulmuştur.

A rare cause of agents of bacteremia: Leuconostoc spp.

After repeated bacteremia attacks in 53-year-old female patient with acute myeloid leukemia (AML) under immunosuppressive treatment, Leuconostoc spp. is isolated from blood culture. Leuconostoc spp. is a vancomycin natural resistant Gram-positive bacterium common in nature. Although it is rarely isolated as an agent in infections, it causes various systemic infections especially in immunosuppressive patients. This case is presented for the first isolation of Leuconostoc spp., as an agent of bacteremia in our laboratory.

___

  • 1.Arias AC, Murray BE. Enterococcus species, Streptococcus bovis group, and Leuconostoc species. In: Mandell GL, Bennett JE, Dolin R, ed. Principles and practice of Infectious Diseases 7th ed. Philadelphia. Churchill Livingstone, 2010; 2643-2653.
  • 2.Koneman EW, Allen SD, Janda WM, Schreckenberger PC, Winn WC Jr. The gram positive cocci. Part II; Streptococci, enterococci and the Streptococcus like bacteria. In: Koneman's Color Atlas and Textbo¬ok of Diagnostic Microbiology, 5th ed. Lippincott, Philadelphia, 1997;577-650.
  • 3.Handweger S, Horowitz H, Coburn Kenneth, Kolokathis A, Wormser PG. Infection due to Leuconostoc species; Six cases and Review. Clin Infect Dis 1990;12: 602-10.
  • 4.Ishiyama K, Yamazaki H, Senda Y, Yamauchi H, Nakao S. Leuconostoc bacteremia in tree patients with malignancies. J Infect Chemother 2011;17:412-18.
  • 5.Vagiakou-Voudrıs E. Mylona-Petropoulou D, Kalogeropoulou E, Chantzis A, Chini S, Tsiodra P, Malamou-Lada E. Multiple liver abscesses associated with bacteremia due to Leuconostoc lactis. Scand J Infect Dis 2002;34:766-7.
  • 6.Jimenez-Mejias ME, Becerril B. Gomez CT, del Nozal M, Palamino-Nicas J. Bacteremia caused by Leuconostoc cremoris in a patient with severe burn injuries. Eur J Clin Microbiol Infect Dis 1997;16:533-5.
  • 7.Coovadia YM, Solwa Z, van den Ende J. Meningitis caused by vancomycin-resistant Leuconostocs spp. J Clin Microbiol 1987;25:1784-5.
  • 8.Aygun H, Bozkurt GY, Memikoglu O, Cokca F. Case report: two Leuconostoc bacteremia cases. Mikrobiyol Bul 2005;39:225-8.
  • 9.Gillespie RS, Symons JM, McDonald RA. Peritonitis due to Leuconostoc species in a child receiving peritone¬al dialysis. Pediatr Nephrol 2002;17:966-8.
  • 10.Patel T, Molloy A, Smith R, Balakrishnan I. Successful of Leuconostoc bacteremia in a neutropenic patient with tigecycline. Infectious Disease Report 2012;4:124-5.
  • 11.Bernaldo de Quiros JC, Munoz P, Cercenado E, Hernandez Samplayo T, et al. Leuconostoc species as a cause of bacteremia: two ca¬se reports and a literature review. Eur J Clin Microbiol Infect Dis 1991;10:505-9.
  • 12.Handweger S, Horowitz H, Coburn Kenneth, Kolokathis A, Wormser PG. Infection due to Leuconostoc species; Six cases and Review. Clin Infect Dis 1990;12:602-10.
  • 13.Florescu D, Hill L, Sudan D, Iween PC. Leuconostoc bacteremia in pediatric patients with short bowel syndrome: case series and review. Pediatr Infect Dis J 2008; 27:1013-9.
  • 14.Green M, Wadowsky RM, Barbadora K. Recovery of vancomycin-resistant gram-positive cocci from child¬ren. J Clin Microbiol 1990;28:484-8.
  • 15.Handwerger S, Pucci MJ, Volk KJ, Liu J, Lee MS. Vancomycın-resistant Leuconostoc mesenteroides and Lactobacillus casei synthesize cytoplasmic peptidoglycan precursors that terminate in lactate. J Bacteriol 1994;176:260-4
Gaziantep Tıp Dergisi-Cover
  • ISSN: 1300-0888
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: Gaziantep Üniversitesi, Tıp Fak.
Sayıdaki Diğer Makaleler

Metabolik sendromlu hastalarda sol atriyal volüm indeksi'nin subklinik ateroskleroz ile ilişkisi3,4, 3,

Hüseyin YILMAZ, Barış AKDEMİR, Sinan Cemgil ÖZBEK, Ali Rıza GÜLCAN, Refik Emre ALTEKİN, Mustafa Serkan KARAKAŞ

Vestibular neurectomy in resistant Meniere disease which underwent endolymphatic sac surgery: A case report

Yaşar ÇOKKESER, Ercan AKBAY, Cengiz ÇEVİK

Laparoskopik kolesistektomi esnasında saptanan sağ hepatik arter varyasyonu

Ulvi MERAL, Orhan KOZAK, Öner MENTEŞ, Ali Kağan COŞKUN, Taner YİĞİT, Yusuf PEKER

Sturge-Weber sendromu; klinik ve radyolojik değerlendirme

Mehmet CANPOLAT, Alper ÖZCAN, Hatice Gamze POYRAZOĞLU, Sefer KUMANDAŞ, Hüseyin PER, Hakan GÜMÜŞ, Abdulhakim ÇOŞKUN, Ali YIKILMAZ

Nadir rastlanan bir bakteriyemi etkeni: Leuconostoc spp

Handan ŞAHİN HAYDAROĞLU, Mustafa PEHLİVAN, Tekin KARSLIGİL, Vahap OKAN, Yasemin ZER, Ebru UNCU

Hipogonadizm, venöz yetmezlik ve erektil disfonksiyon birlikteliği gözlenen olgularda androjen replasman tedavisinin etkinliği

Alper DİLLİ, M Abdürrahim İMAMOĞLU, Ufuk ÖZTÜRK, Nevzat Can ŞENER, HN Göksel GÖKTUĞ, Hasan BAKIRTAŞ

Eksternal dakriyosistorinostomi ameliyatlarında tek ve çift flep anastomoz sonuçlarının karşılaştırılması

Yusuf KOÇLUK, Tevfik SÖZEN, Seydi OKUMUŞ, Ferhat ZORLU, Emrah MAT

Comparison of 4% icodextrin and auto-crosslinked hyaluronic acid gel in terms of efficacy and cost effectivity in preventing postoperative abdominal adhesions

Ersin BORAZAN, İlyas BAŞKONUŞ, Avni GÖKALP, Göktürk MARALCAN, Hüseyin AĞTAŞ

Labor induction: comparison between oxytocin and dinoprostone

Hüseyin CENGİZ, Hasan ÇETİN, Serkan YURTSEVER, Hande YURTSEVER, Abdullah KURHAN

The clinical outcome of traditional laparoscopic cholecystectomy

Fahri YILMAZ, Mehmet Levhi AKIN, Kazım DUMAN, Koray Halil SEZER