The Brief Case: Bacteremia Caused by Helicobacter cinaedi
Journal of Clinical Microbiology January 2017 V.55 N.1 P.5-9
Allen C. Bateman and Susan M. Butler-Wu* Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA
Carey-Ann D. Burnham, Editor Washington University School of Medicine
A 61-year-old male with relapsed multiple myeloma presented to clinic with fatigue and chills.
The patient had undergone two rounds of autologous stem cell transplantation in 2012 and was undergoing chemotherapy with pomalidomide, cyclophosphamide, and dexamethasone.
He was admitted for neutropenic fever (absolute neutrophil count of 1.4 × 109/liter, temperature of 38.4°C). His physical exam was normal, and he denied any other symptoms.
Two sets of blood cultures were obtained (VersaTREK Redox; Trek Diagnostic Systems), and the patient was started on levofloxacin, vancomycin, and cefepime.
His fever subsided after 24 h, and he was discharged home to complete a 30-day course of oral levofloxacin…