First bloodstream infection caused by

Bloodstream infection Heart failure Microbiota Precision medicine Prevotella species

Journal

Gut pathogens
ISSN: 1757-4749
Titre abrégé: Gut Pathog
Pays: England
ID NLM: 101474263

Informations de publication

Date de publication:
2019
Historique:
received: 19 06 2019
accepted: 12 09 2019
entrez: 25 9 2019
pubmed: 25 9 2019
medline: 25 9 2019
Statut: epublish

Résumé

Bloodstream infection (BSI) is a constant threat for hospitalized patients, and elderly patients are particularly susceptible to BSI caused by anaerobic bacteria. Changes in the gut microbiota composition may lead to pathogen overgrowth and translocation into the bloodstream. Consequently, domination of specific taxa in the intestinal bacterial community seems to be associated with a higher risk of bacteremia in some patient populations. Here, we report the case of a 90-year-old heart failure (HF) patient who was admitted to the hospital for an acute state of cardiac decompensation. Twenty days after admission, he was febrile to 38.2  We provide the first evidence for a clinically significant BSI caused by

Sections du résumé

BACKGROUND BACKGROUND
Bloodstream infection (BSI) is a constant threat for hospitalized patients, and elderly patients are particularly susceptible to BSI caused by anaerobic bacteria. Changes in the gut microbiota composition may lead to pathogen overgrowth and translocation into the bloodstream. Consequently, domination of specific taxa in the intestinal bacterial community seems to be associated with a higher risk of bacteremia in some patient populations.
CASE PRESENTATION METHODS
Here, we report the case of a 90-year-old heart failure (HF) patient who was admitted to the hospital for an acute state of cardiac decompensation. Twenty days after admission, he was febrile to 38.2 
CONCLUSIONS CONCLUSIONS
We provide the first evidence for a clinically significant BSI caused by

Identifiants

pubmed: 31548871
doi: 10.1186/s13099-019-0325-6
pii: 325
pmc: PMC6749625
doi:

Types de publication

Case Reports

Langues

eng

Pagination

44

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

Références

Anaerobe. 2010 Jun;16(3):183-9
pubmed: 20025984
Int J Cardiol. 2012 May 17;157(1):80-5
pubmed: 21190739
Nature. 2011 May 12;473(7346):174-80
pubmed: 21508958
Clin Infect Dis. 2012 Oct;55(7):905-14
pubmed: 22718773
Nat Rev Immunol. 2013 May;13(5):321-35
pubmed: 23618829
Nat Immunol. 2013 Jul;14(7):685-90
pubmed: 23778796
BMC Infect Dis. 2013 Jul 24;13:346
pubmed: 23883345
Elife. 2013 Nov 05;2:e01202
pubmed: 24192039
Clin Microbiol Infect. 2014 Nov;20(11):O857-60
pubmed: 24773457
Br J Hosp Med (Lond). 2015 Jun;76(6):330-6
pubmed: 26053903
J Card Fail. 2015 Dec;21(12):973-80
pubmed: 26435097
J Clin Microbiol. 2016 Mar;54(3):576-84
pubmed: 26677254
Virulence. 2016 Apr 2;7(3):341-52
pubmed: 26684392
Virulence. 2016 Apr 2;7(3):353-65
pubmed: 26760780
Microbiome. 2016 Apr 12;4:15
pubmed: 27068581
Eur J Heart Fail. 2016 Aug;18(8):891-975
pubmed: 27207191
Arthritis Rheumatol. 2016 Nov;68(11):2565-2567
pubmed: 27390139
Crit Care Nurs Clin North Am. 2017 Mar;29(1):51-65
pubmed: 28160957
BMJ. 2017 Mar 15;356:j831
pubmed: 28298355
J Clin Med. 2017 Jun 09;6(6):
pubmed: 28598360
ESC Heart Fail. 2017 Aug;4(3):282-290
pubmed: 28772054
Clin Infect Dis. 2018 Mar 19;66(7):1004-1012
pubmed: 29136126
Clin Microbiol Infect. 2018 Nov;24(11):1139-1148
pubmed: 29458156
Clin Infect Dis. 2019 May 30;68(12):2053-2059
pubmed: 30239622
Nat Med. 2018 Dec;24(12):1809-1814
pubmed: 30323331
Microbiome. 2018 Nov 5;6(1):198
pubmed: 30396369
Nat Microbiol. 2019 Jan;4(1):35-45
pubmed: 30546094
Drugs Aging. 1995 Jun;6(6):456-64
pubmed: 7663065

Auteurs

Patrizia Posteraro (P)

Laboratorio di Analisi Chimico-Cliniche e Microbiologiche, Ospedale San Carlo GVM, Rome, Italy.

Flavio De Maio (F)

2Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy.

Giulia Menchinelli (G)

2Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy.

Ivana Palucci (I)

2Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy.

Federica Maria Errico (FM)

Laboratorio di Analisi Chimico-Cliniche e Microbiologiche, Ospedale San Carlo GVM, Rome, Italy.

Mariantonietta Carbone (M)

Unità di Cardiologia, Ospedale San Carlo GVM, Rome, Italy.

Maurizio Sanguinetti (M)

2Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy.
4Dipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Antonio Gasbarrini (A)

5Istituto di Patologia Medica e Semeiotica Medica, Università Cattolica del Sacro Cuore, Rome, Italy.
6Dipartimento di Scienze Gastroenterologiche, Endocrino-Metaboliche e Nefro-Urologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Brunella Posteraro (B)

5Istituto di Patologia Medica e Semeiotica Medica, Università Cattolica del Sacro Cuore, Rome, Italy.
6Dipartimento di Scienze Gastroenterologiche, Endocrino-Metaboliche e Nefro-Urologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Classifications MeSH