Case Report


Clinically-significant Corynecterium aurimucosum bacteremia: Is it time for a change of perspective? A first documented case and review of the literature

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1 Consultant, Department of Internal Medicine, Hospital Dos de Mayo, Barcelona, Spain

2 Consultant, Department of Microbiology, Consorci del Laboratori Intercomarcal de l’Alt Penedès, l’Anoia i el Garraf, Sant Joan Despí, Barcelona, Spain

3 Chief Consultant, Department of Internal Medicine, Hospital Dos de Mayo, Barcelona, Spain

Address correspondence to:

Evangelia Anna Maria Zioga

Hospital Dos de Mayo, Carrer del Dos de Maig 301, 08025, Barcelona,

Spain

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Article ID: 100003Z16EZ2018

doi: 10.5348/100003Z16EZ2018CR

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How to cite this article

Zioga EAM, Jofre CS, Abad RC, Tort IC, Fernández VI, Rouscalleda LF. Clinically-significant Corynecterium aurimucosum bacteremia: Is it time for a change of perspective? A first documented case and review of the literature. J Case Rep Images Infect Dis 2018;1:100003Z16EZ2018.

ABSTRACT


Introduction: Most Corynebacteria and other gram positive rods have been classically considered contaminants of microbiological samples, however, advances in microbial identification offer a new insight on their pathological significance. In this report, we present a first case of clinically significant bacteremia of urinary origin caused by Corynebacterium aurimucosum and a brief review of the literature.

Case Report: Corynebacterium aurimucosum was isolated in both urinary and blood samples of a 94-year old patient with fever and bacteremia. The isolated pathogenic organism was identified in the samples using mass spectometry (MALDI-TOF), and was treated with amoxicillin/clavulanic with clinical improvement and stability at three weeks follow up. This was the first reported case of clinically significant bacteremia caused by this isolate, although infections at different sites have reported.

Conclusion: New techniques of microbial identification show gaining importance of Corynebacterium spp. in clinically-relevant infections, thus modifying progressively the established spectrum of disease caused by GPRs. Detailed reporting of new cases could contribute to a better understanding of the burden of the disease.

Keywords: Aurimucosum, Bacteremia, Corynebacterium, Gram-positive rods

SUPPORTING INFORMATION


Author Contributions

Evangelia Anna Maria Zioga - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Clara Sala Jofre - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Raquel Clivillè Abad - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Iolanda Calvet Tort - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Virginia Isern Fernández - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Lourdes Ferrer Rouscalleda - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this case report.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2018 Evangelia Anna Maria Zioga et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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