Abstract
A 39-year-old male with acute myelogenous leukemia and concomitant porphyria cutanea tarda was admitted to the hospital for consolidation chemotherapy of his leukemia. During his hospitalization, he developed cellulitis of the left hand and persistent bacteremia with a yellow-pigmented, nonfermenting coryneform bacterium that was identified as Aureobacterium sp. The portal of entry for the Aureobacterium infection was probably through the skin lesions due to porphyria cutanea tarda. The infection developed while the patient was receiving vancomycin prophylaxis, and the vancomycin MIC for the isolate was 32 micrograms/ml.
MeSH Terms
Adult
Anti-Bacterial Agents/pharmacology
Bacteremia/complications,microbiology
Bacterial Typing Techniques
Cellulitis/complications,microbiology
Drug Resistance, Microbial
Gram-Positive Asporogenous Rods/drug effects
Gram-Positive Bacterial Infections/complications,microbiology,mortality
Humans
Leukemia, Myeloid, Acute/complications
Male
Microbial Sensitivity Tests
Vancomycin/pharmacology
Chemicals
Anti-Bacterial Agents
Vancomycin
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Nolte F S
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. fnolte@emory.edu
Arnold K E
Sweat H
Winton E F
Funke G
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