Infective endocarditis due to Citrobacter koseri in an immunocompetent adult

J Clin Microbiol. 2009 Dec;47(12):4185-6. doi: 10.1128/JCM.00957-09. Epub 2009 Oct 7.

Abstract

Citrobacter koseri (formerly Citrobacter diversus) is a motile gram-negative bacillus usually arising from urinary and gastrointestinal tracts. C. koseri rarely causes infection in immunocompetent patients and, thus far, has been considered an opportunistic pathogen. We report on a 30-year-old man, with no medical past, hospitalized for infective aortic endocarditis due to C. koseri. Four weeks of antibiotherapy led to a full recovery for this patient. However, this case is unusual, as previous history and 1 year of follow-up showed no features of intercurrent immunosuppression. Microbiological diagnosis was based on using 16S rRNA gene sequencing.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Citrobacter koseri* / classification
  • Citrobacter koseri* / genetics
  • Citrobacter koseri* / isolation & purification
  • Endocarditis, Bacterial* / diagnosis
  • Endocarditis, Bacterial* / microbiology
  • Enterobacteriaceae Infections* / diagnosis
  • Enterobacteriaceae Infections* / microbiology
  • Humans
  • Immunocompetence*
  • Male
  • RNA, Ribosomal, 16S / genetics
  • Sequence Analysis, DNA

Substances

  • RNA, Ribosomal, 16S