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Case Reports: Rare disease
Leclercia adecarboxylata catheter-related bacteraemia in an immunocompromised patient
  1. Haleigh Harper1,
  2. John Logan2,
  3. Ryan Kubat3 and
  4. Matthew Jones2
  1. 1University of Kansas School of Medicine, Kansas City, Kansas, USA
  2. 2Internal Medicine, The University of Kansas Health System, Kansas City, Kansas, USA
  3. 3Internal Medicine, Division of Infectious Disease, The University of Kansas Health System, Kansas City, Kansas, USA
  1. Correspondence to Haleigh Harper; hharper2{at}kumc.edu

Abstract

A 34-year-old man on active chemotherapy was hospitalised with fever, chills and rigours after power-washing a pig pen on a farm. His blood cultures grew Leclercia adecarboxylata, a gram-negative rod in the Enterobacteriaceae family, which has been isolated from a variety of environments including soil, surface water, as well as in the gastrointestinal flora of farm animals. The likely source of infection was his tunnelled central venous catheter exposed to water contaminated by faeces when he was washing the pig pen. While there have been several cases reported of catheter-related L. adecarboxylata bacteraemia, to our knowledge there are very few reports of infection spread in this manner.

  • infections
  • infectious diseases
  • medical management
  • exposures

https://doi.org/10.1136/bcr-2021-247496

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    Footnotes

    • Contributors HH was the primary author of the case report. HH, JL and MJ conceived the idea to write this report. All authors contributed to the care of the patient in the report. RK and MJ provided scientific, grammatical and stylistic revisions to the manuscript. All authors provided final approval of the version to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.