Work

Catheter-related bloodstream infection by Kocuria rhizophila in a dialysis patient

Year: 2025

Type: article

Abstract: Catheter related bloodstream infections are a common concern in hospitalized and immunocompromised patients. We report a case of CKD with an indwelling left IJV Permacath who developed fever and chills during dialysis. Investigations showed leukocytosis, elevated CRP (75 mg/L), and procalcitonin (9.1 ng/mL). Paired blood cultures grew Kocuria rhizophila, identified by MALDI-TOF, with a two-hour difference in positivity indicating CRBSI. Vancomycin led to improvement and antibiotic lock therapy was initiated. This case highlights that rare organisms such as K. rhizophila can be true pathogens in dialysis patients, and correct identification with MALDI-TOF alongside clinical correlation is crucial for appropriate management.

Source: Indian Journal of Medical Microbiology

DOI: 10.1016/j.ijmmb.2025.101029

Authors: Aditi Gupta, Nithya S. Roy, Vibhor Tak, Manish Chaturvedy

Institutions: All India Institute of Medical Sciences Jodhpur, All India Institute of Medical Sciences

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: gold

Estimated APC paid: $2,210