Bacteremia in a Centenarian and Pathogen Traceability: A Case Report

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2021 Jul 5

PMID 34222461

Citations 1

Authors

Zhong-Ying Zhang

Xiao-Ai Zhang

Qian Chen

Jie-Yu Wang

Yun Li

Zhan-Yun Wei

Zi-Chen Wang

Affiliations

Soon will be listed here.

Abstract

Background: Early diagnosis and appropriate antibiotic treatment are important to survival of () bacteremia. Penicillin tends to be the most commonly used antibiotic. However, there are limited data on antibiotic use in elderly patients with serious complications. We describe the clinical presentation, antibiotic therapy, and traceability of in a centenarian with a history of eating frozen food.

Case Summary: A 102-year-old man suffered from high fever with chill after hematochezia. Tentative diagnoses were lower gastrointestinal hemorrhage and localized peritonitis. Meropenem and ornidazole were the empirical therapy. The patient did not respond and developed multiple system dysfunction even after teicoplanin was added to the therapy. was identified from blood cultures on day 5 of admission. The patient had a history of consuming frozen dumplings. Meropenem/ornidazole/teicoplanin were replaced with meropenem/linezolid. The patient gradually became afebrile. He received meropenem/linezolid for 10 d, and piperacillin/tazobactam was applied as step-down treatment for 2 wk with good clinical results. There was no sign of relapse during follow-up after discharge. isolates from the patient and frozen dumplings belonged to different serotypes and sequence types (STs): 1/2b and ST5 from the patient and 1/2c and ST9 from the dumplings.

Conclusion: More awareness of listeriosis should be raised. Linezolid might be an option for listeriosis in elderly people with serious complications.

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