1 |
A |
39 yr |
Female |
Diverticulitis |
None |
Fever, hypotension, back pain |
B. longum and Clostridium paraputrificum at onset of disease, Escherichia coli 2 days later |
Ampicillin, gentamicin, metronidazole, clindamycin |
Recovered |
2 |
A |
81 yr |
Male |
Parkinson's disease, abdominal surgery due to volvulus |
Cephalothin, metronidazole, and doxycycline until 2 days before onset of bacteremia |
Sepsis and respiratory failure 3 days after abdominal surgery |
B. longum (monomicrobial) |
Benzylpenicillin |
Death |
3 |
B |
81 yr |
Male |
Severe chronic obstructive pulmonary disease |
Ampicillin, gentamicin, ciprofloxacin, cefuroxime, and meropenem until 4 days before onset of bacteremia |
Fever and pneumonia |
B. longum (monomicrobial), 2 of 4 blood culture bottles positive |
Meropenem |
Recovered |
4 |
C |
3 wk |
Male |
Prematurity (32 wk of gestation) |
None |
Sudden infant death syndrome prior to hospital admission |
B. longum (monomicrobial), obtained postmortem |
No |
Death |
5 |
C |
40 yr |
Male |
Adenocarcinoma with perforated cecum |
None (treated for acute leukemia at age 15 yr) |
Peritonitis, septic shock |
B. longum (monomicrobial) |
Piperacillin-tazobactam, metronidazole |
Recovered |
6 |
D |
85 yr |
Male |
Metastatic colorectal cancer |
None |
Fever |
B. longum, Streptococcus oralis, and Klebsiella pneumoniae at onset of disease |
Ampicillin, gentamicin |
Recovered |
7 |
E |
49 yr |
Female |
Recurrent wound infections (over years) |
Dicloxacillin at onset of bacteremia |
Polymicrobial local bursitis, no signs of sepsis |
B. breve (monomicrobial) |
Benzylpenicillin, ciprofloxacin, clindamycin |
Recovered |
8 |
E |
69 yr |
Male |
Infected aortic graft with aortoenteric fistula |
Prednisolone due to tendinitis 4 wk prior to onset of bacteremia |
Chills |
B. animalis, Fusobacterium nucleatum, and Veillonella parvula at onset of disease |
Cefotaxime, ceftriaxone |
Recovered |
9 |
E |
71 yr |
Male |
Metastatic lung cancer |
Methylprednisolone at onset bacteremia, chemotherapy and radiation therapy 4 mo prior to onset of bacteremia |
Septic shock |
B. longum (monomicrobial) |
Cefotaxime, ciprofloxacin, metronidazole |
Death |
10 |
F |
84 yr |
Female |
Pyelonephritis, hydronephrosis caused by a kidney stone |
Ciprofloxacin at onset of bacteremia |
Fever, chills, abdominal pain |
B. breve, Bacteroides spp., and Candida glabrata at onset of disease |
Cefotaxime |
Recovered |
11 |
G |
84 yr |
Male |
Pancreatic cancer |
Ciprofloxacin at onset of bacteremia |
Fever, chills, abdominal pain, signs of sepsis |
B. animalis and Lactobacillus johnsonii
|
Piperacillin-tazobactam |
Recovered |
12 |
H |
98 yr |
Female |
Congestive heart failure, systemic amyloidosis, chronic constipation |
Prednisolone at onset of bacteremia |
Afebrile on admission but developed fever and dyspnea, died 14 h after admission |
B. longum and Bacteroides fragilis
|
No |
Death |
13 |
I |
2 wk |
Male |
Prematurity (23 wk of gestation), spontaneous gut perforation |
Penicillin and gentamicin |
Sepsis |
B. longum (monomicrobial) |
Cefotaxime, gentamicin |
Recovered |
14 |
I |
5 wk |
Female |
Prematurity (24 wk of gestation), leaky gut after necrotizing enterocolitis |
Ampicillin and gentamicin 1 wk before onset of bacteremia |
Sepsis |
B. longum (monomicrobial) |
Ampicillin, gentamicin, metronidazole |
Recovered |
15 |
B |
2 wk |
Male |
Prematurity (24 wk of gestation) |
Ampicillin and gentamicin 1 wk before onset of bacteremia |
Increasing apneas, bradycardia, temp instability |
B. longum (monomicrobial) |
|
Recovered |