Skip to main content
SpringerLink
Log in

Bacteremia caused byLeuconostoc cremoris in a patient with severe burn injuries

  • Notes
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

A case ofLeuconostoc cremoris bacteremia in a patient with burn wounds over 45% of the body surface is presented.Leuconostoc bacteremia has not previously been reported in burn patients. The predisposing factors in this case were severe burn wounds resulting in immunocompromise, presence of both intravenous and enterai feeding catheters, several surgical interventions and previous treatment with imipenem plus amikacin. The patient was successfully treated with ampicillin 2 g i.v. every 6 hours for 21 days. Infection withLeuconostoc should be suspected when vancomycinresistant organisms resembling streptococci are isolated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Maackey T, Lejeune V, Janssens M, Wauters G: Identification of vancomycin resistant lactic bacteria isolated from humans. Journal of Clinical Microbiology 1993, 31: 2499–2501.

    Google Scholar 

  2. Handwerger S, Horowitz H, Coburn K, Kololathis A, Wormser GP: Infection due toLeuconostoc sp. Six cases and review. Reviews of Infectious Diseases 1990, 4: 602–610.

    Google Scholar 

  3. Golledge CL: Infection due toLeuconostoc species. Reviews of Infectious Diseases 1991, 13: 184–185.

    Google Scholar 

  4. Buu-Hoi A, Branger C, Acar J: Vancomycin-resistantStreptococci orLeuconostoc sp. Antimicrobial Agents and Chemotherapy 1985, 28: 458–460.

    Google Scholar 

  5. Facklam RR, Washington JA:Streptococcus and related catalase-negative gram-positive cocci. In Balows A, Hausler WJ, Herrmann KL, Isenberg HD, Shadomy HJ (ed): Manual of Clinical Microbiology. American Society for Microbiology, Washington DC, 1991, p. 238–257.

    Google Scholar 

  6. Bernardo do Quirós JCL, Muñoz P, Cercenado E, Hernández ST, Moreno S, Bouza E:Leuconostoc sp. as a cause of bacteremia: two case reports and a literature review. European Journal of Clinical Microbiology & Infectious Diseases 1991, 10: 505–509.

    Google Scholar 

  7. Giraud P, Attal M, Lemouzy J, Huguet F, Schlaifer D, Pris J:Leuconostoc, a potential pathogen in bone marrow transplantation. Lancet 1993, 341: 1481–1482.

    Google Scholar 

  8. Peters VB, Bottone EJ, Barzilai A, Hyatt AC, Blank S, Hodes DS:Leuconostoc species bacteremia in a child with acquired immunodeficiency syndrome. Clinical Pediatrics 1992, 31: 699–701.

    Google Scholar 

  9. Ferrer S, de Miguel G, Domingo P, Pericas R, Prats G: Pulmonary infections due toLeuconostoc species in a patient with AIDS. Clinical Infectious Diseases 1995, 21: 225–226.

    Google Scholar 

  10. Caratepetis J, Bishop S, Davis J, Bell B, Hogg G: Leuconostoc sepsis in association with continuous enteral feeding: two case reports and a review. Pediatric Infectious Diseases Journal 1994, 13: 816–823.

    Google Scholar 

  11. Hardy S, Rouff KL, Catlin EA, Santos JI: Catheter-associated infection with a vancomycin-resistant gram-positive coccus of theLeuconostoc sp. Pediatric Infectious Diseases Journal 1988, 7: 519–520.

    Google Scholar 

  12. Friedland IR, Snipelisky M, Khoosal M: Meningitis in a neonate caused byLeuconostoc sp. Journal of Clinical Microbiology 1990, 28: 2125–2126.

    Google Scholar 

  13. Wenocur HS, Smith MA, Vellozzi EM, Shapiro J, Isenberg HD: Odontogenic infection secondary toLeuconostoc species. Journal of Clinical Microbiology 1988, 26: 1893–1894.

    Google Scholar 

  14. Dyas A, Chauhan N: Vancomycin-resistantLeuconostoc. Lancet 1988, i: 306.

    Google Scholar 

  15. Bary H, Clancy MT, Brady A, O'Higgins N: Isolation of aLeuconostoc species from a retroareolar breast abscess. Journal of Infection 1993, 27: 208–210.

    Google Scholar 

  16. Del Nozal M, Jiménez-Mejías ME, Suárez AI, Viciana P: Sepsis porLeuconostoc cremoris, neutropenia e infección por el virus de la imunodeficiencia humana. Medicina Clinica 1997, 108: 799.

    Google Scholar 

  17. Facklam R, Elliot JA: Identification, classification and clinical relevance of catalase-negative, gram-positive cocci, excluding the streptococci and enterococci. Clinical Microbiology Reviews 1995, 8: 479–495.

    Google Scholar 

  18. Yurt RG: Burns. In Mandell GL, Bennett JE, Dolin R (ed): Principles and practice of infectious diseases. Churchill Livingstone, New York, 1995, p. 2761–2765.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Unit of Infectious Diseases, Department of Internal Medicine, University Hospital Virgen del Rocio, Avda. Manuel Siurot s/n, 41013, Seville, Spain

    M. E. Jiménez-Mejías, M. Del Nozal & J. Palomino-Nicás

  2. Microbiology Department, University Hospital Virgen del Rocio, Avda. Manuel Siurot s/n, 41013, Seville, Spain

    B. Becerril

  3. Burns Care Unit, Plastic Surgery Service, University Hospital Virgen del Rocio, Avda. Manuel Siurot s/n, 41013, Seville, Spain

    T. Gómez-Cía

Authors
  1. M. E. Jiménez-Mejías
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Becerril
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Gómez-Cía
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Del Nozal
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. Palomino-Nicás
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jiménez-Mejías, M.E., Becerril, B., Gómez-Cía, T. et al. Bacteremia caused byLeuconostoc cremoris in a patient with severe burn injuries. Eur. J. Clin. Microbiol. Infect. Dis. 16, 533–535 (1997). https://doi.org/10.1007/BF01708238

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01708238

Keywords

Search

Navigation