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24 June 2013 : Case report  Israel

A rare bacteremia caused by Cedecea davisae in patient with chronic renal disease

Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Avi PeretzABCDEF, Claudia SimsoloBC, Evgeny FarberBC, Anna RothB, Diana BrodskyBF, Farid NakhoulADE

DOI: 10.12659/AJCR.889285

Am J Case Rep 2013; 14:216-218

Abstract

Background: Cedecea davisae is a gram negative, oxidase negative bacilli that include 5 species. In the medical literature there are very few reports that describe infections caused by different species of the Cedecea genus.
Case Report: In this paper we report a fourth case of bacteremia in a 77 year-old patient with a chronic renal disease that was successfully treated with ceftazidim and ciprofloxacin. Additionally, we present a review of all the reported infections that were caused by C. davisae.
Conclusions: Five cases (not including our report) of Cedecea bacteremia were reported so far. Cedecea infections and particularly C. davisae infections can be difficult to treat due to the antibiotic resistance of the bacterium. Therefore we propose to consider treating C. davisae bacteremia with a combined antibiotic treatment until getting laboratory results for antibiotic-sensitivity tests.

Keywords: chronic renal disease, Bacteremia, Cedecea davisae

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923