A case report of Cedecea davisae infection in a patient with chronic kidney disease in Saudi Arabia

IF 1 Q4 INFECTIOUS DISEASES

IDCases Pub Date : 2025-01-01 DOI:10.1016/j.idcr.2025.e02309

Hani S. Al-Jahdali , Huda S. Al Ghamdi , Bothayna I. Saleh , Mohammed F. Merza , Bushra H. Alqurashy , Layali S. Abdurabo , Zahra A. Albishi , Rasha Binmahfouz

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Abstract

Cedecea, a genus belonging to the family Enterobacteriaceae, are uncommonly attributed as causative agents of human infections. Cedecea davisae is considered as an opportunistic pathogen that was isolated from a different acute infection in advanced-aged patients with many comorbid diseases or from immunocompromised hosts. Fourteen cases of proved C. davisae infections were published up till now. We isolated C. davisae from chronic kidney disease patient who presented with purulent discharge from dialysis catheter, and the result of microbiology culture and identification on automated microbiology identification system, MicroScan WalkAway using NBC50 panel revealed C. davisae as a causative agent of catheter related infection. The patient improved on receiving antibiotic treatment according to culture and sensitivity results. Awareness of the clinical significance of this low incidence bacterial infection and their antibiotic resistance and sensitivity pattern is crucial in the medical field.

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沙乌地阿拉伯慢性肾病患者感染鹿腹虫1例报告

肠杆菌属属于肠杆菌科，通常被认为是人类感染的病原体。鼠尾草被认为是一种机会性病原体，从患有多种合并症的老年患者的不同急性感染或免疫功能低下的宿主中分离出来。截至目前，已发表证实的davisae感染病例14例。我们从慢性肾脏病患者的透析导管脓性分泌物中分离到davisae，并在MicroScan WalkAway自动微生物鉴定系统上进行微生物培养和鉴定，结果显示davisae是导管相关感染的病原体。根据培养和药敏结果，患者接受抗生素治疗的情况有所改善。认识这种低发病率细菌感染的临床意义及其抗生素耐药和敏感模式在医学领域至关重要。

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