Bacillus cereus necrotizing pneumonia in a patient with nephrotic syndrome

Jun Miyata, Sadatomo Tasaka, Masaki Miyazaki, Syuichi Yoshida, Katsuhiko Naoki, Koichi Sayama, Koichiro Asano, Hiroshi Fujiwara, Kiyofumi Ohkusu, Naoki Hasegawa, Tomoko Betsuyaku

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9 Citations (Scopus)

Abstract

Bacillus cereus (B. cereus) is a Gram-positive rod that is widely distributed in the environment and can be a cause of food poisoning. We herein present a case of B. cereus necrotizing pneumonia in a patient with nephrotic syndrome under corticosteroid treatment after developing transient gastroenteritis symptoms. B. cereus was isolated from bronchial lavage fluid and transbronchial biopsy specimens. A multiplex polymerase chain reaction analysis of the toxin genes revealed a strain possessing enterotoxicity. The patient recovered after one week of intravenous meropenem followed by a combination of oral moxifloxacin and clindamycin. B. cereus is a pathogen that causes necrotizing pneumonia in immunocompromised hosts.

Original languageEnglish
Pages (from-to)101-104
Number of pages4
JournalInternal Medicine
Volume52
Issue number1
DOIs
Publication statusPublished - 2013

Keywords

  • Bacillus cereus
  • Corticosteroid
  • Hypogammaglobulinemia
  • Necrotizing pneumonia
  • Nephrotic syndrome

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Miyata, J., Tasaka, S., Miyazaki, M., Yoshida, S., Naoki, K., Sayama, K., Asano, K., Fujiwara, H., Ohkusu, K., Hasegawa, N., & Betsuyaku, T. (2013). Bacillus cereus necrotizing pneumonia in a patient with nephrotic syndrome. Internal Medicine, 52(1), 101-104. https://doi.org/10.2169/internalmedicine.52.7282