Fatal Sepsis Caused by an Unusual Klebsiella Species That Was Misidentified by an Automated Identification System

J Med Microbiol. 2013 May;62(Pt 5):801-803. doi: 10.1099/jmm.0.051334-0. Epub 2013 Feb 28.

Abstract

This is a description of fatal sepsis caused by infection with Klebsiella variicola, which is an isolate genetically related to Klebsiella pneumoniae. The patient's condition was incorrectly diagnosed as common sepsis caused by K. pneumoniae, which was identified using an automated identification system, but next-generation sequencing and the non-fermentation of adonitol finally identified the cause of sepsis as K. variicola.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Automation
  • Bacterial Typing Techniques / methods*
  • DNA, Bacterial / genetics
  • Diagnostic Errors*
  • Fatal Outcome
  • Female
  • Humans
  • Klebsiella / classification
  • Klebsiella / genetics
  • Klebsiella / isolation & purification*
  • Klebsiella Infections / diagnosis*
  • Klebsiella Infections / microbiology
  • Phylogeny
  • RNA, Bacterial / genetics
  • RNA, Ribosomal, 16S / genetics
  • Sepsis / diagnosis*
  • Sepsis / microbiology

Substances

  • DNA, Bacterial
  • RNA, Bacterial
  • RNA, Ribosomal, 16S