A Case of Septic Pulmonary Embolism Caused by <i>Rhodococcus erythropolis</i> Complicated by Chronic Idiopathic Intestinal Pseudo-obstruction

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  • 慢性仮性腸閉塞に合併した<i>Rhodococcus erythropolis</i>による敗血症性肺塞栓症の1例
  • 慢性仮性腸閉塞に合併したRhodococcus erythropolisによる敗血症性肺塞栓症の1例
  • マンセイ カセイ チョウ ヘイソク ニ ガッペイ シタ Rhodococcus erythropolis ニ ヨル ハイケツショウセイ ハイ ソクセンショウ ノ 1レイ

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Abstract

<p>Catheter-related bloodstream infection (CRBSI) is one of the serious complications in patients with chronic idiopathic intestinal pseudo-obstruction (CIPO). Moreover, septic pulmonary embolism (SPE) is a very rare complication in patients on home parenteral nutrition (HPN). Herein, we report a case of CIPO with SPE complicated by CRBSI due to Rhodococcus erythropolis, which is a naturally occurring bacterium.</p><p>The patient was a 36-year-old woman with CIPO on HPN. She had a one-month history of continued fever and cough of unknown origin. Chest computed tomography showed multiple nodules in both her lungs, and R. erythropolis was isolated from a peripheral blood culture. She was diagnosed as having CRBSI and SPE. She underwent antibiotic therapy for eight weeks, and her blood culture results became negative. However, the patient repeatedly had a fever with positive blood culture results. We replaced the catheter, after which her fever resolved. Moreover, the multiple lung nodules were further reduced in size.</p>

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