TY - JOUR
T1 - Bacillus cereus
T2 - Beyond Gastroenteritis
AU - Koop, Lindsey
AU - Garg, Rohini
AU - Nguyen, Toan
AU - Gujjula, Nagarjuna Reddy
AU - Velagapudi, Manasa
N1 - Publisher Copyright:
Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - INTRODUCTION: Bacillus cereus (B cereus) has been found within the gastrointestinal flora. Due to its ubiquity, B cereus is usually considered a contaminant. However, it can cause serious infections in certain populations. CASE PRESENTATION: A 39-year-old woman with refractory gastroparesis requiring gastric pacemaker with a jejunostomy tube and cervical cancer status post chemotherapy presented with fever and fatigue. Initial and repeat blood cultures (from peripheral and port-a-cath access) grew B cereus and the port-a-cath was removed. She was treated with appropriate antibiotics and bacteremia resolved. DISCUSSION: B cereus is often associated with toxin-mediated emetic or diarrheal gastroenteritis. However, in patients with prosthetic devices or intravenous (IV) drug users, B cereus can cause serious infection. Biofilms produced by B cereus attach to indwelling catheters, allowing persistent infection until catheter removal. CONCLUSION: In patients with prosthetic devices or IV drug use, B cereus should be treated with appropriated antibiotics and any indwelling catheters should be removed.
AB - INTRODUCTION: Bacillus cereus (B cereus) has been found within the gastrointestinal flora. Due to its ubiquity, B cereus is usually considered a contaminant. However, it can cause serious infections in certain populations. CASE PRESENTATION: A 39-year-old woman with refractory gastroparesis requiring gastric pacemaker with a jejunostomy tube and cervical cancer status post chemotherapy presented with fever and fatigue. Initial and repeat blood cultures (from peripheral and port-a-cath access) grew B cereus and the port-a-cath was removed. She was treated with appropriate antibiotics and bacteremia resolved. DISCUSSION: B cereus is often associated with toxin-mediated emetic or diarrheal gastroenteritis. However, in patients with prosthetic devices or intravenous (IV) drug users, B cereus can cause serious infection. Biofilms produced by B cereus attach to indwelling catheters, allowing persistent infection until catheter removal. CONCLUSION: In patients with prosthetic devices or IV drug use, B cereus should be treated with appropriated antibiotics and any indwelling catheters should be removed.
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M3 - Article
C2 - 34255956
AN - SCOPUS:85111463555
SN - 1098-1861
VL - 120
SP - 145
EP - 147
JO - Wisconsin Medical Journal
JF - Wisconsin Medical Journal
IS - 2
ER -