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KMID : 0984720070390050270
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Infection and Chemotherapy
2007 Volume.39 No. 5 p.270 ~ p.273
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A Case of Agrobacterium Radiobacter Sepsis followng Oral Surgery in a Patient of Oral Cancer
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Jung Soo-Jin
Kim Chang-Oh
Choi Jun-Yong
Song Young-Goo
Kim June-Myung
Kim Myung-Soo
Lee Han-Sung
Kim Chang-Ki
Choi Hee-Kyung
Lee Hye-Won
Shin Sang-Hoon
Chin Bum-Sik
Choi Suk-Hoon
Han Sang-Hoon
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Abstract
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Agrobacterium is an aerobic, motile, oxidase-positive, and non-spore-forming gram-negative bacillus. Under laboratory conditions, Agrobacterium can genetically transform a wide range of other eukaryotic species. A plant-pathogenic soil inhabitant, Agrobacterium radiobacter is not characterized as a true human pathogen. It is an opportunistic pathogen of minor clinical significance and has been substantiated as a rare cause of bacteremia, endocarditis, urinary tract infection and peritonitis mostly in catheterized immunocompromised patients. The authors report a case of a 41-year-old female patient with sepsis caused by A. radiobacter bacteremia following wide excisional biopsy of adenoid-cystic carcinoma involving oral cavity. She was suffering from fever and chilling that developed on second post-operation day. Blood cultures yielded a gram-negative bacillus identified as A. radiobacter. She completely recovered with appropriate antibiotics treatment; levofloxacin and isepamicin. We experienced a case of sepsis due to A. radiobacter bacteremia without indwelling foreign body, which was treated successfully with antibiotics therapy.
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KEYWORD
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Agrobacterium radiobacter, Sepsis, Fluoroquinolone
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