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

doi:10.2169/internalmedicine.52.7282

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

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

12 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 language	English
Pages (from-to)	101-104
Number of pages	4
Journal	Internal Medicine
Volume	52
Issue number	1
DOIs	https://doi.org/10.2169/internalmedicine.52.7282
Publication status	Published - 2013

Keywords

Bacillus cereus
Corticosteroid
Hypogammaglobulinemia
Necrotizing pneumonia
Nephrotic syndrome

ASJC Scopus subject areas

Internal Medicine

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10.2169/internalmedicine.52.7282

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title = "Bacillus cereus necrotizing pneumonia in a patient with nephrotic syndrome",

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.",

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AU - Miyata, Jun

AU - Tasaka, Sadatomo

AU - Miyazaki, Masaki

AU - Yoshida, Syuichi

AU - Naoki, Katsuhiko

AU - Sayama, Koichi

AU - Asano, Koichiro

AU - Fujiwara, Hiroshi

AU - Ohkusu, Kiyofumi

AU - Hasegawa, Naoki

AU - Betsuyaku, Tomoko

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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.

KW - Bacillus cereus

KW - Corticosteroid

KW - Hypogammaglobulinemia

KW - Necrotizing pneumonia

KW - Nephrotic syndrome

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Bacillus cereus necrotizing pneumonia in a patient with nephrotic syndrome

Abstract

Keywords

ASJC Scopus subject areas

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