Two cases of bacteremia caused by Leptotrichia trevisanii in patients with febrile neutropenia

Yoshimi Higurashi, Keita Tatsuno, Fumie Fujimoto, Ito Kobayashi, Kohmei Ida, Yasuyuki Seto, Kiyofumi Ohkusu, Takayuki Ezaki, Shu Okugawa, Kyoji Moriya

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

We present two cases of bacteremia caused by Leptotrichia trevisanii: a 12-year-old girl with recurrent myeloid leukemia of the mandible and a 66-year-old man with esophageal carcinoma. As this filamentous bacillus showed indefinite Gram staining and the identification based on biochemical enzymatic reactions was not definitive, identification required 16s rRNA analysis. For this organism, drug sensitivity testing showed susceptiblity to each β-lactam antibiotics and clindamycin, but resistance to fluoroquinolone and erythromycin. This filamentous bacillus needs careful identification and appropriate antibiotic treatment.

Original languageEnglish
Pages (from-to)1181-1184
Number of pages4
JournalJournal of Infection and Chemotherapy
Volume19
Issue number6
DOIs
StatePublished - Dec 2013
Externally publishedYes

Keywords

  • Esophageal carcinoma
  • Leptotrichia trevisanii
  • Leukemia
  • Neutropenic fever

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