Kluyvera intermedia bacteremia with septic shock: A case report

• Published in: IDCases Vol. 32; p. e01765
• Main Authors: Inoue, Tomohiro, Hadano, Yoshiro, Koga, Hitoshi, Tamehiro, Kazuhito, Sagara, Syuichirou, Tokuda, Yuuji, Urabe, Syougo, Mukasa, Kohta, Onitsuka, Kouhei, Higuchi, Masahiro, Sudo, Toshiki, Mabe, Takaaki, Toyama, Kiyosiro, Ichikawa, Aoi, Hisaka, Syunsuke, Moriya, Tomoka, Yamamoto, Miki
• Format: Report
• Language: English
• Published: 01.01.2023
• ISSN: 2214-2509; 2214-2509
• DOI: 10.1016/j.idcr.2023.e01765

BackgroundKluyvera intermedia is a bacterium indigenous to humans. But Kluyvera intermedia bacteremia has been not reported thus far. We report a case of Kluyvera intermedia bacteremia with septic shock due to left obstructive pyelonephritis as a result of urolithiasis. Case presentationA 66-year-old woman with septic shock due to left obstructive pyelonephritis was transferred to our hospital. Tazobactam/Piperacillin 4.5 g was administered every 8 h for 5 days. The patient's condition improved, and she was transferred back to the previous hospital. Kluyvera intermedia was obtained by blood cultures. The patient was successfully treated with a two-week course of antibiotics. ConclusionsWe describe the first case of bacteremia with septic shock caused by Kluyvera intermedia. Kluyvera intermedia can be a causative pathogen of septic shock. Since this bacterium has not been reported in the past, we expect further reports and the accumulation of cases in the future.