Bacteremia caused by Rothia mucilaginosa after pneumonia, in a patient with hematopoietic stem cell transplantation


BAYHAN C. , KARADAĞ ÖNCEL E. , Cengiz A. B. , Oksuz A. B. , Aydin G. B.

ARCHIVOS ARGENTINOS DE PEDIATRIA, cilt.114, 2016 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 114 Konu: 5
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5546/aap.2016.eng.e343
  • Dergi Adı: ARCHIVOS ARGENTINOS DE PEDIATRIA

Özet

Rothia muciloginosa is a member of normal flora and rarely causes invasive disease. Immunosupressed patients have increased risk for severe infection. Here, we report a male patient with relapsed neuroblastoma hospitalized for pneumonia. After clinical improvement, patient's respiratory symptoms worsened again. Rothia muciloginosa was isolated from blood culture. The worsening of respiratory symptoms can be explained by hematogenous spread of bacteria. He was successfully treated with meropenem and vancomycin for 14 days. This rarely seen bacterium is known to have high mortality rates unless treated appropriately and should be considered especially in patients with malignancy due to their immunsupressed situation.