Multiple healthcare-associated infections in a patient with Crohn's disease: Case report

Autores/as

  • Jorge Bélem Oliveira Júnior Universidade Federal de Pernambuco/UFPE
  • Maria Anilda dos Santos Araújo Centro Universitário Tiradentes/UNIT
  • Denise Maria Wanderlei Silva Universidade Federal de Alagoas/UFAL
  • Manoel Álvaro de Freitas Lins Neto Universidade Federal de Alagoas/UFAL
  • Fernanda Cristina de Albuquerque Maranhão Universidade Federal de Alagoas/UFAL

DOI:

https://doi.org/10.17058/reci.v6i2.6850

Resumen

Background and Objective: Healthcare-associated infections (HAIs) are the main cause of death in hospitalized individuals worldwide, related with preexisting disease and invasive procedures. The present study aimed to identify the microorganisms in a immunosuppressed patient and their antimicrobial resistance profile. Case report: A 33-year-old man with Crohn's disease was admitted in a hospital for an enterostomy and cholecystectomy, with postoperative fever and gastrointestinal bleeding. Infections of the urinary tract, into the bloodstream and associated with vascular catheter were evaluated by collect of urine, blood and secretions from catheter tips, individually plated on specific media for direct identification and antibiogram in VITEK® 2. Two different vascular catheters samples and a hemoculture revealed Staphylococcus aureus strains β-lactamases producers, with macrolide-lincosamide-streptogramin B (MLS B) and methicillin resistance phenotypes (MRSA), and one indication of VISA (Vancomycin-intermediate S. aureus). Pseudomonas aeruginosa and P. luteola were detected in catheter tips with different resistance profile, whereas Trichosporon asahii and Klebsiella pneumonia (ciprofloxacin/levofloxacin resistant) were isolated from urine. Amikacin, meropenem polymyxin B, piperacillin/tazobactam, ciprofloxacin, cefepime and amphotericin B were administered to this patient. Conclusions: The patient survived even after multiple infections with pathogens usually envolved in HAIs and mortality in brazilian hospitals.

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Biografía del autor/a

Jorge Bélem Oliveira Júnior, Universidade Federal de Pernambuco/UFPE

Universidade Federal de Alagoas/UFAL

Denise Maria Wanderlei Silva, Universidade Federal de Alagoas/UFAL

Setor de Microbiologia do Instituto de Ciências Biológicas e da Saúde

Manoel Álvaro de Freitas Lins Neto, Universidade Federal de Alagoas/UFAL

Faculdade de Medicina

Fernanda Cristina de Albuquerque Maranhão, Universidade Federal de Alagoas/UFAL

Setor de Microbiologia do Instituto de Ciências Biológicas e da Saúde

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Publicado

2016-04-04

Cómo citar

Oliveira Júnior, J. B., Araújo, M. A. dos S., Silva, D. M. W., Lins Neto, M. Álvaro de F., & Maranhão, F. C. de A. (2016). Multiple healthcare-associated infections in a patient with Crohn’s disease: Case report. Revista De Epidemiologia E Controle De Infecção, 6(2), 104-106. https://doi.org/10.17058/reci.v6i2.6850

Número

Vol. 6 Núm. 2 (2016)

Sección

RELATO DE EXPERIÊNCIA

Licencia

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