Vancomycin-resistant Aureobacterium species cellulitis and bacteremia in a patient with acute myelogenous leukemia.

Abstract

A 39-year-old male with acute myelogenous leukemia and concomitant porphyria cutanea tarda was admitted to the hospital for consolidation chemotherapy of his leukemia. During his hospitalization, he developed cellulitis of the left hand and persistent bacteremia with a yellow-pigmented, nonfermenting coryneform bacterium that was identified as Aureobacterium sp. The portal of entry for the Aureobacterium infection was probably through the skin lesions due to porphyria cutanea tarda. The infection developed while the patient was receiving vancomycin prophylaxis, and the vancomycin MIC for the isolate was 32 micrograms/ml.

• Authors: F S Nolte, K E Arnold, H Sweat, E F Winton, G Funke
• Journal: Journal of clinical microbiology (J Clin Microbiol) Vol. 34 Issue 8 Pg. 1992-4 (Aug 1996) ISSN: 0095-1137 [Print] United States
• PMID: 8818896 (Publication Type: Case Reports, Comparative Study, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Vancomycin

Topics

• Adult
• Anti-Bacterial Agents (pharmacology)
• Bacteremia (complications, microbiology)
• Bacterial Typing Techniques
• Cellulitis (complications, microbiology)
• Drug Resistance, Microbial
• Gram-Positive Asporogenous Rods (drug effects)
• Gram-Positive Bacterial Infections (complications, microbiology, mortality)
• Humans
• Leukemia, Myeloid, Acute (complications)
• Male
• Microbial Sensitivity Tests
• Vancomycin (pharmacology)