Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.24 No.3 contents]
Japanese / English

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Article in Japanese

ArticleTitle A case of bacteremia caused by Leptotrichia trevisanii in a patient with multiple myeloma
Language J
AuthorList Jun Yonetamari1), Hirofumi Ohtaki2), Asami Nakayama1), Kohei Ando1), Takashi Miyazaki1), Hirotoshi Ohta1), Nobuyuki Furuta1), Tamayo Watanabe3), Nobuhiro Kanemura4), Hiroyasu Ito5), Kiyofumi Ohkusu6), Nobuo Murakami3), Mitsuru Seishima5)
Affiliation 1) Division of Clinical Laboratory, Gifu University Hospital
2) Department of Medical Technology, Kansai University of Health Sciences
3) Center for Nutrition Support & Infection Control, Gifu University Hospital
4) Department of Transfusion Medicine, Gifu University Hospital
5) Department of Informative Clinical Medicine, Gifu University Graduate School of Medicine
6) Department of Microbiology, Tokyo Medical University
Publication J.J.C.M.: 24 (3), 201-206, 2014
Received June 17, 2014
Accepted August 5, 2014
Abstract We here report on a case of Leptotrichia trevisanii bacteremia in a patient with hematologic malignancy. A 64-year-old woman with multiple myeloma was admitted to our hospital for transplantation therapy. On the seventh day after autologous peripheral blood stem cell transplantation, she developed a fever and a blood culture test was performed. Bacterial growth in 2 independent blood culture sets was observed 4-5 days after the culture, but the Gram stain results for the culture media were unclear. The media from the blood culture-positive samples were immediately cultured, and bacterial growth was observed after 48 h in an anaerobic condition. Although the isolated bacterium was not identified using commercial biochemical test kits, 16S rRNA sequencing analyses finally revealed it as L. trevisanii. Previous studies have reported on blood stream infections caused by L. trevisanii in patients with hematologic malignancies; hence, bacterial laboratory findings and patient medical history are very important to ensure the accurate and timely diagnosis of L. trevisanii bacteremia in these patients.
Keywords Leptotrichia trevisanii
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