Japanese Journal of Medical Technology
Online ISSN : 2188-5346
Print ISSN : 0915-8669
ISSN-L : 0915-8669
Case Reports
Two cases of bacteremia caused by Corynebacterium jeikeium detected in blood cultures
Yutaka UMEDAJurou HAYASHIToshi IMAIYasuo FUKUI
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2015 Volume 64 Issue 6 Pages 686-691

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Abstract
We report on two cases of Corynebacterium jeikeium bacteremia associated with induction chemotherapy for acute myelogenous leukemia. The patients were 55- and 37-year-old males who were undergoing chemotherapy. C. jeikeium was detected in blood cultures of both patients during chemotherapy. As the blood cultures tested positive for the bacterium and the patients were immunologically deficient, we investigated the possibility of C. jeikeium as the causative organism. The patients were started on vancomycin (VCM) therapy, after which C. jeikeium was no longer detected; thus, treatment of the primary disease was performed. Medical technological progress increases the incidence of opportunistic infections. When C. jeikeium is detected in blood cultures, it is necessary to determine whether it is the causative organism by reviewing the patients’ background and blood culture positivity time. If it is indeed the causative organism, it is necessary to consider changing VCM to the recommended antimicrobial agent.
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© 2015 Japanese Association of Medical Technologists
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