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01.08.2003 | Brief Report

Fatal septic shock caused by Corynebacterium D2

verfasst von: Vincent Audard, Maité Garrouste-Orgeas, Benoit Misset, Adel Ben Ali, Olivier Gattolliat, Paul Meria, Jean Carlet

Erschienen in: Intensive Care Medicine | Ausgabe 8/2003

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Abstract

Background

Septic shock remains one of the leading causes of mortality in critically ill patients. Optimal management depends on prompt diagnosis with identification of the causative organisms to allow appropriate antibiotic therapy.

Patient

We report the first case of septic shock caused by Corynebacterium D2, a micro-organism that can cause encrusted cystitis and pyelitis of transplanted kidneys or, more rarely, native kidneys. Diagnosis rests on identification of risk factors, positive urine cultures, and computed tomography results. Despite optimal treatment our patient died with persistent encrusted pyelitis.

Conclusions

Corynebacterium D2 is known to cause chronic inflammation of the bladder and proximal urinary tract but can also cause severe septic shock in immunocompetent patients.

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Titel: Fatal septic shock caused by Corynebacterium D2
verfasst von: Vincent Audard
Maité Garrouste-Orgeas
Benoit Misset
Adel Ben Ali
Olivier Gattolliat
Paul Meria
Jean Carlet
Publikationsdatum: 01.08.2003
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 8/2003
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-003-1865-1

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Fatal septic shock caused by Corynebacterium D2