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Bacteremia and Septic Thrombophlebitis Caused by an Infusion Set Contaminated with Bacillus cereus

Year: 2025

Type: article

Abstract: A 48-year-old man with Fisher syndrome was admitted to our hospital for amino acid-containing peripheral parenteral nutrition. On day 19 of his hospital stay, he became febrile and Bacillus cereus was isolated from blood cultures. Vancomycin was administered, and the entire infusion set was replaced. The cultures were prepared from the infusion set. B. cereus was detected in several connectors and hubs, although catheter tip culture was negative. Echocardiography revealed cephalic venous thrombophlebitis. In cases with no improvement despite effective antibiotic use, clinicians should consider the possibility that the infusion set might have become contaminated.

Source: Internal Medicine

DOI: 10.2169/internalmedicine.4918-24

Authors: Yusuke Watanabe, Shunsuke Ohba, Tamaki Nakamura, Shogo Yamada, Akira Kato, Daisuke Kawahata, Kaoru Yamazaki, Hidehiro Watanabe

Institutions: Tokyo Medical University Hospital, Tokyo Medical University Ibaraki Medical Center

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408215305

FWCI: 1.221

Cites: 21

Cited by: 1

Related to: 10