Management of long-term catheter-related Brevibacterium bacteraemia

Clin Microbiol Infect. 2004 May;10(5):465-7. doi: 10.1111/j.1469-0691.2004.00857.x.

Abstract

Brevibacterium has been reported as a rare cause of implanted-device infection. In two cases of recurrent Brevibacterium casei bacteraemia associated with infection of surgically implanted intravascular devices, relapse occurred 2 and 5 months, respectively, after completion of therapy with vancomycin via the infected catheter. A second intravenous antibiotic therapy course by the antibiotic-lock technique led to bacteriological cure in one patient. Molecular typing results demonstrated that the recurrent bacteraemia was caused by the same strain. Implanted-device removal may be necessary, in addition to appropriate antibiotics, for successful management of such infections.

Publication types

  • Case Reports

MeSH terms

  • Actinomycetales Infections / drug therapy
  • Actinomycetales Infections / microbiology
  • Actinomycetales Infections / therapy*
  • Adult
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / drug therapy
  • Bacteremia / microbiology
  • Bacteremia / therapy*
  • Brevibacterium* / drug effects
  • Catheters, Indwelling / microbiology*
  • Device Removal*
  • Equipment Contamination
  • Female
  • Humans
  • Male
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Vancomycin