Leuconostoc bacteremia after liver transplantation

Another cause of vancomycin resistant gram-positive infection

Ricardo Espinoza, Shimon Kusne, A. William Pasculle, Suzanne Wada, John Fung, Jorge Rakela

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Leuconostoc sp. are gram-positive bacteria intrinsically resistant to vancomycin, which can be confused with streptococci based on routine microbiological characteristics. Infections secondary to Leuconostoc are uncommon, and usually affect patients with underlying diseases, prior use of vancomycin and those with central lines. The most common clinical presentation is fever secondary to a central line infection. We report the first case of Leuconostoc infection in a solid organ transplant recipient. The patient developed Leuconostoc bacteremia secondary to peritonitis, 60 d after undergoing liver transplantation. He was treated with clindamycin, gentamicin and underwent surgical debridement, but succumbed to other complications.

Original languageEnglish (US)
Pages (from-to)322-324
Number of pages3
JournalClinical Transplantation
Volume11
Issue number4
StatePublished - Aug 1997
Externally publishedYes

Fingerprint

Leuconostoc
Vancomycin
Bacteremia
Liver Transplantation
Infection
Clindamycin
Gram-Positive Bacteria
Debridement
Gentamicins
Streptococcus
Peritonitis
Coinfection
Fever
Transplants

Keywords

  • Bacteremia
  • Leuconostoc
  • Liver transplantation

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

Leuconostoc bacteremia after liver transplantation : Another cause of vancomycin resistant gram-positive infection. / Espinoza, Ricardo; Kusne, Shimon; Pasculle, A. William; Wada, Suzanne; Fung, John; Rakela, Jorge.

In: Clinical Transplantation, Vol. 11, No. 4, 08.1997, p. 322-324.

Research output: Contribution to journalArticle

Espinoza, Ricardo ; Kusne, Shimon ; Pasculle, A. William ; Wada, Suzanne ; Fung, John ; Rakela, Jorge. / Leuconostoc bacteremia after liver transplantation : Another cause of vancomycin resistant gram-positive infection. In: Clinical Transplantation. 1997 ; Vol. 11, No. 4. pp. 322-324.
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