Haematogenous pneumonia caused by Kocuria kristinae in a patient with a central venous catheter
  • Raffaele Natale
    Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Clelia Nasti
    Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Annadora Morena
    Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Fabrizio Pasanisi
    Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
  • Lidia Santarpia
    Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy

Keywords

Kokuria kristinae infection, haematogenous pneumonia, differential diagnosis

Abstract

Kocuria kristinae is a Gram-positive commensal bacterium, rarely responsible for infection in immunocompromised patients.
A 29-year-old woman affected by intestinal pseudo-obstruction and requiring home parenteral nutrition, was hospitalised for fever and shivering during the infusion through a long-term central venous catheter (CVC).
Blood cultures were positive for K. kristinae infection. At a chest CT scan, two partially cavitated nodular lesions were evidenced. Meropenem antibiotic therapy was used locally and systemically, resulting in catheter use restoration.
A chest CT scan two months later at follow-up showed two centimetric, fibrotic and disventilatory areas replacing the previous nodular thickenings.
Kokuria kristinae was responsible for haematogenous pulmonary involvement with excavated nodules, requiring a differential diagnosis. Moreover, in the case of a CVC infection, in addition to the risk of right endocarditis, haematogenous pneumonia must also be considered.

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References

  • Bernshteyn M, Kumar PA, Joshi S. Kocuria kristinae pneumonia and bacteremia. Proc (Bayl Univ Med Cent) 2020;33:608–609.
  • Napolitani M, Troiano G, Bedogni C, Messina G, Nante N. Kocuria kristinae: an emerging pathogen in medical practice. J Med Microbiol 2019;68:1596–1603.
  • Tewari R, Dudeja M, Das AK, Nandy S. Kocuria kristinae in catheter associated urinary tract infection: a case report. J Clin Diagn Res 2013;7:1692–1693.
  • Namba Y, Fujisaki S, Fukuda T. Kocuria kristinae infection associated with short bowel syndrome: a case report. Int J Surg Case Rep 2020;77:276–278.
  • Santarpia L, Viceconte G, Foggia M, Alfonsi L, Tosone G, Camera L, et al. Home parenteral nutrition in patients with intestinal failure: possible undetected complications. Nutrients 2019;11:581.
  • Santarpia L, Esposito R, Vaccaro A, Alfonsi L, Pagano MC, Santoro C, et al. Cardiac changes in patients on long-term parenteral nutrition. Nutrients 2019;11:1587.
  • Kim J, Dabiri B, Hammer MM. Micronodular lung disease on high-resolution CT: patterns and differential diagnosis. Clin Radiol 2021;76:399–406.
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    Published: 2024-03-11
    Issue: 2024: Vol 11 No 4 (view)


    How to cite:
    1.
    Natale R, Nasti C, Morena A, Pasanisi F, Santarpia L. Haematogenous pneumonia caused by Kocuria kristinae in a patient with a central venous catheter. EJCRIM 2024;11 doi:10.12890/2024_004314.