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Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient

  • Case Report
  • Published:
Journal of Infection and Chemotherapy

Abstract

A 46-year-old woman was transferred to our emergency unit because of impaired consciousness and respiratory failure with the history of excessive pesticide intake. The patient was hypersalivative and had bilateral pupillary miosis. Laboratory results showed markedly decreased cholinesterase. She was intubated and treated in the intensive care unit with the diagnosis of organophosphorus poisoning. The patient had persisted diarrhea, with a high fever and stomach tenderness on day 10. Whole-body contrast enhanced computed tomography revealed a swollen, enhanced small intestinal wall, and blood culture identified Delftia acidovorans. She was diagnosed as D. acidovorans bacteremia, probably caused by bacterial translocation based on the clinical presentation and the exclusion of other sources, and treated well with a total of 8 days of antibiotic therapy. So far as we know, this is the first case of D. acidovorans bacteremia that was presumably caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient.

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Conflict of interest

All authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Emergency Unit and Critical Care Center, Tsuyama Central Hospital, 1756 Kawasaki, Tsuyama, Okayama, 708-0841, Japan

    Hideharu Hagiya, Junichi Sugiyama, Yasutoshi Kuroe, Hiroyoshi Nojima, Hiromichi Naito, Shingo Hagioka & Naoki Morimoto

  2. Microbiology Division, Department of Clinical Laboratory, Tsuyama Central Hospital, Tsuyama, Okayama, Japan

    Tomoko Murase

Authors
  1. Hideharu Hagiya
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  2. Tomoko Murase
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  3. Junichi Sugiyama
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  4. Yasutoshi Kuroe
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  5. Hiroyoshi Nojima
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  6. Hiromichi Naito
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  7. Shingo Hagioka
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  8. Naoki Morimoto
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Correspondence to Hideharu Hagiya.

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Hagiya, H., Murase, T., Sugiyama, J. et al. Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient. J Infect Chemother 19, 338–341 (2013). https://doi.org/10.1007/s10156-012-0472-x

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  • DOI: https://doi.org/10.1007/s10156-012-0472-x

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