Table 4. Characteristics of the patients diagnosed with a colonization or contamination.
Case | Gender | Age | Underlying malignancy | Specimen | Diagnosis/Possible Source | Presentation/Clinical Symptoms | Prior Procedures | CVC or Other Device | Antibiotic Treatment | Other Treatment Intervention |
---|---|---|---|---|---|---|---|---|---|---|
1 | F | 60 | Squamous cell carcinoma of skin/hand | Wound | Colonization | Chronic non-healing radiation ulcer | Surgical resection of radiation ulcer | None | Not treated | None |
2 | M | 43 | Metastatic melanoma | CSF | Contamination | None | Intrathecal cytarabine injection | Ommaya reservoir | Not treated | None |
3 | M | 59 | Chronic lymphocytic leukemia | Wound | Colonization | Non-healing scalp wound | Wound debridement, scalp flap | Port | Cephalexin given post-operatively after flap placed; wound was not suspected to be infected | None |
4 | M | 69 | Bladder cancer | Urine | Colonization | None | Cystourethroscopy | None | Prophylactic Bactrim | None |
5 | F | 65 | Squamous cell carcinoma of skin | Wound | Colonization | Painful nodule | Recent excision of cancer | None | Not treated | None |
6 | F | 58 | Squamous cell carcinoma of skin | Wound | Colonization | Pain and erythema | Recent excision of cancer | None | Not treated | None |
7 | F | 72 | Cervical cancer | Urine | Colonization | Hematuria | None | None | Not treated | None |
8 | M | 58 | Squamous cell carcinoma of lung | Wound | Colonization | Erythema of skin | None | None | Not treated | None |
9 | M | 68 | Renal cell carcinoma | Blood | Colonization | Hypotension | None | None | Vancomycin initially, then discontinued as culture was felt to be contaminant, hypotension was attributed to volume depletion | None |
10 | F | 59 | Plasma cell leukemia | Blood | Colonization | Fever, diarrhea, vomiting | None | None | Vancomycin initially, then discontinued as symptoms were attributed to other diagnosis | None |
CVC, central venous catheter; F, female; M, male; CSF, cerebrospinal fluid.