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Case report
Multiresistent Cupriavidus pauculus infection in an immunocompromised elderly patient
  1. Inês Gomes1,
  2. Mafalda Martins Ferreira2,
  3. Jorge Leitão2 and
  4. Armando Carvalho2
  1. 1Instituto Português de Oncologia de Coimbra Francisco Gentil EPE, Coimbra, Coimbra, Portugal
  2. 2Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  1. Correspondence to Dr Inês Gomes; ines23gomes{at}gmail.com

Abstract

Cupriavidus pauculus is a gram-negative bacillus aerobic bacteria widely distributed in nature that can cause, in rare cases, serious infections both in immunocompromised and immunocompetent patients. We describe a case of an elderly patient admitted in emergency room with septic shock and diagnosed with a urinary tract infection. During his hospital stay, his clinical and analytical conditions have deteriorated. Blood cultures were positive for C. pauculus only sensitive to minocycline. Despite every effort, due to multiple comorbidities and a nosocomial pneumonia, the patient ends up dying.

  • infections
  • malignant disease and immunosuppression
  • geriatric medicine
  • nosocomial infections

https://doi.org/10.1136/bcr-2021-243328

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    Footnotes

    • Contributors IG: follow-up during the patient’s hospitalisation of the patient. She drew, did the bibliographic research and wrote the articleMartins. MMF: follow-up during patient’s hospitalisation of the patient and contributed to the writing of the ‘case presentation’ section. JL: follow-up during patient’s hospitalisation of the patient and reviewed the article and corrected it. AC: reviewed the article and corrected it.

    • 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.

    • Competing interests None declared.

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