DOI: 10.12890/2024_004314

Haematogenous pneumonia caused by Kocuria kristinae in a patient with a central venous catheter

Authors

  • Raffaele Natale Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Clelia Nasti Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Annadora Morena Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Fabrizio Pasanisi Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Lidia Santarpia Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy

raffaelenatale1993@gmail.com

Keywords

Kokuria kristinae infection, haematogenous pneumonia, differential diagnosis

Abstract

Kocuria kristinae is a Gram-positive commensal bacterium, rarely responsible for infection in immunocompromised patients.
A 29-year-old woman affected by intestinal pseudo-obstruction and requiring home parenteral nutrition, was hospitalised for fever and shivering during the infusion through a long-term central venous catheter (CVC).
Blood cultures were positive for K. kristinae infection. At a chest CT scan, two partially cavitated nodular lesions were evidenced. Meropenem antibiotic therapy was used locally and systemically, resulting in catheter use restoration.
A chest CT scan two months later at follow-up showed two centimetric, fibrotic and disventilatory areas replacing the previous nodular thickenings.
Kokuria kristinae was responsible for haematogenous pulmonary involvement with excavated nodules, requiring a differential diagnosis. Moreover, in the case of a CVC infection, in addition to the risk of right endocarditis, haematogenous pneumonia must also be considered.

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References

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Published

2024-03-11

Issue

Vol. 11 No. 4 (2024)

Categories

How to Cite

1.
Natale R, Nasti C, Morena A, Pasanisi F, Santarpia L. Haematogenous pneumonia caused by Kocuria kristinae in a patient with a central venous catheter. EJCRIM [Internet]. 2024 Mar. 11 [cited 2026 Nov. 3];11(4). Available from: https://ejcrim.com/index.php/ejcrim/article/view/4314

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