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Septic shock caused by Rhizobium radiobacter in an elderly woman: A case report.
Medicine (Baltimore) 2019; 98(49):e18267M

Abstract

RATIONALE

Rhizobium radiobacter is a Gram-negative pathogen present in soil and plants. Cases of R radiobacter infection in immunocompromised hosts have been sporadically reported. However, septic shock caused by R radiobacter is rarely seen.

PATIENT CONCERNS

Here, we describe an elderly patient with a rapid progression of watery diarrhea, anorexia, fever, weakness, oliguria, and shock. Blood results showed increased total white blood cell count and C-reactive protein. Arterial blood gas results showed hypoxia and elevated lactate level. The Sequential Organ Failure Assessment score was 11. Blood culture at admission showed Gram-negative bacteria, which were later confirmed as R radiobacter.

DIAGNOSIS

Septic shock caused by R Radiobacter.

INTERVENTIONS

The patient was treated with intravenous cefoperazone/sulbactam and sequential oral levofloxacin.

OUTCOMES

The patient recovered completely.

CONCLUSION

R radiobacter may be considered as a potential opportunistic pathogen that may cause severe sepsis in elderly patients, especially those with multiple underlying diseases.

Authors+Show Affiliations

Department of Emergency Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31804363

Citation

Wang, Dong-Lian, et al. "Septic Shock Caused By Rhizobium Radiobacter in an Elderly Woman: a Case Report." Medicine, vol. 98, no. 49, 2019, pp. e18267.
Wang DL, Zhao LD, Li LJ, et al. Septic shock caused by Rhizobium radiobacter in an elderly woman: A case report. Medicine (Baltimore). 2019;98(49):e18267.
Wang, D. L., Zhao, L. D., Li, L. J., & Zhou, M. J. (2019). Septic shock caused by Rhizobium radiobacter in an elderly woman: A case report. Medicine, 98(49), pp. e18267. doi:10.1097/MD.0000000000018267.
Wang DL, et al. Septic Shock Caused By Rhizobium Radiobacter in an Elderly Woman: a Case Report. Medicine (Baltimore). 2019;98(49):e18267. PubMed PMID: 31804363.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Septic shock caused by Rhizobium radiobacter in an elderly woman: A case report. AU - Wang,Dong-Lian, AU - Zhao,Li-Dong, AU - Li,Li-Juan, AU - Zhou,Min-Jie, PY - 2019/12/6/entrez PY - 2019/12/6/pubmed PY - 2019/12/27/medline SP - e18267 EP - e18267 JF - Medicine JO - Medicine (Baltimore) VL - 98 IS - 49 N2 - RATIONALE: Rhizobium radiobacter is a Gram-negative pathogen present in soil and plants. Cases of R radiobacter infection in immunocompromised hosts have been sporadically reported. However, septic shock caused by R radiobacter is rarely seen. PATIENT CONCERNS: Here, we describe an elderly patient with a rapid progression of watery diarrhea, anorexia, fever, weakness, oliguria, and shock. Blood results showed increased total white blood cell count and C-reactive protein. Arterial blood gas results showed hypoxia and elevated lactate level. The Sequential Organ Failure Assessment score was 11. Blood culture at admission showed Gram-negative bacteria, which were later confirmed as R radiobacter. DIAGNOSIS: Septic shock caused by R Radiobacter. INTERVENTIONS: The patient was treated with intravenous cefoperazone/sulbactam and sequential oral levofloxacin. OUTCOMES: The patient recovered completely. CONCLUSION: R radiobacter may be considered as a potential opportunistic pathogen that may cause severe sepsis in elderly patients, especially those with multiple underlying diseases. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/31804363/Septic_shock_caused_by_Rhizobium_radiobacter_in_an_elderly_woman:_A_case_report L2 - http://dx.doi.org/10.1097/MD.0000000000018267 DB - PRIME DP - Unbound Medicine ER -