Bacillus cereus: Beyond Gastroenteritis

Lindsey Koop; Rohini Garg; Toan Nguyen; Nagarjuna Reddy Gujjula; Manasa Velagapudi

Bacillus cereus: Beyond Gastroenteritis

Lindsey Koop, Rohini Garg, Toan Nguyen, Nagarjuna Reddy Gujjula, Manasa Velagapudi

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	145-147
Number of pages	3
Journal	Wisconsin Medical Journal
Volume	120
Issue number	2
State	Published - Jul 1 2021

ASJC Scopus subject areas

General Medicine

Divisions

Hospital Medicine

Cite this

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title = "Bacillus cereus: Beyond Gastroenteritis",

abstract = "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.",

author = "Lindsey Koop and Rohini Garg and Toan Nguyen and Gujjula, \{Nagarjuna Reddy\} and Manasa Velagapudi",

note = "Publisher Copyright: Copyright{\textcopyright} Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.",

year = "2021",

month = jul,

day = "1",

language = "English (US)",

volume = "120",

pages = "145--147",

journal = "Wisconsin Medical Journal",

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TY - JOUR

T1 - Bacillus cereus

T2 - Beyond Gastroenteritis

AU - Koop, Lindsey

AU - Garg, Rohini

AU - Nguyen, Toan

AU - Gujjula, Nagarjuna Reddy

AU - Velagapudi, Manasa

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.

UR - https://www.scopus.com/pages/publications/85111463555

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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 -

Bacillus cereus: Beyond Gastroenteritis

Abstract

ASJC Scopus subject areas

Divisions

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