First report of Kocuria marina bloodstream infection unrelated to a central venous catheter: a mini-review on an emerging and under-recognized opportunistic pathogen.

Giovanna Pulcrano, Michela Balzaretti, Alessia Grosini, Vincenzo Piacentini, Dimitri Poddighe

Journal: Le infezioni in medicina 2018;25(1):71-74

PMID: 28353459

Free Full Text on InfezMed View on PubMed

Abstract

We report a case of sepsis by Kocuria marina in a 45-year-old woman carrying a midline venous catheter to provide total parenteral nutrition. Despite the finding of K. marina bacteraemia, no bacteria grew from the culture of the catheter tip. As the patient was affected with severe leg ulcers, K. marina bloodstream infection from a skin breakage other than CVC was supposed. K. marina is an emerging opportunistic agent deserving attention and probably under-recognized, as it can be misdiagnosed as Staphylococcus if only conventional microbiological analyses are performed for bacterial identification.

Address: Department of Chemical Clinical Analysis, Microbiology Unit, ASST Melegnano-Martesana, Vizzolo Predabissi, Milano, Italy.; Department of General Medicine, ASST Melegnano-Martesana, Vizzolo Predabissi, Milano, Italy.; Department of Paediatrics, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

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MeSH Terms: Anti-Bacterial Agents, Asthma, Bacteremia, Body Mass Index, Central Venous Catheters, Female, Gram-Positive Bacterial Infections, Humans, Leg Ulcer, Levofloxacin, Micrococcaceae, Middle Aged, Risk Factors, Smoking, Treatment Outcome