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KMID : 1100820120020020105
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Laboratory Medicine Online
2012 Volume.2 No. 2 p.105 ~ p.110
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A Case of Catheter-Related Bloodstream Infection by Tsukamurella inchonensis in a Pediatric Patient Receiving Home Intravenous Antibiotic Treatment
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Seo You-Kyung
Chung Hae-Sun
Lee Yang-Soon
Kim Ju-Won
Yong Dong-Eun
Jeong Seok-Hoon
Han Seok-Joo
Lee Kyung-Won
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Abstract
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Bacteria belonging to the genus Tsukamurella are aerobic, gram-positive rods that are weakly acid-fast with no apparent branching. Infections of the Tsukamurella spp. are generally caused by the use of infected medical devices such as central venous catheters. The underreporting of these infections might be attributable to the frequent misdiagnosis of Tsukamurella infections as Corynebacterium or atypical Mycobacterium spp. infections. Therefore, when gram-positive aerobic rods are observed in the blood culture of a patient with a central venous catheter, it is important to consider Tsukamurella as one of the causative organisms. Here, we report the first case of a catheter-related blood stream infection caused by Tsukamurella inchonensis in a 3-yr-old Korean girl with underlying biliary atresia who underwent hepatoportoenterostomy.
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KEYWORD
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Catheter, Blood stream infection, Tsukamurella inchonensis, 16S ribosomal RNA
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