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Original Article

Clinical Significance of Bacteremia Caused by Klebsiella Ornithinolytica

The Ewha Medical Journal 2008;31(1):3-7. Published online: June 30, 2008

Department of Internal Medicine, School of Medicine, Ewha Womans University, Korea.

*Department of Laboratory Medicine, School of Medicine, Ewha Womans University, Korea.

Copyright © 2008. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    Klebsiella ornithinolytica is a very rare type of Klebsiella species isolated from human and environment and is currently reported to be the cause of bacteremia. However, there have been no data on the clinical implication of K. ornithinolytica bacteremia.
  • Materials and Methods
    We have analyzed 9 cases of K. ornithinolytica bacteremia diagnosed at Ewha Womans Medical Center from 2003 to 2006. All available clinical and microbial data were analyzed.
  • Results
    All 9 cases were community acquired. The causes of bacteremia were hepatobiliary disease(66.7%), Primary bacteremia(22.2%) and spontaneous bacterial peritonitis(11.1%). Underlying diseases were colon cancer, type 2 diabetes, hypertension and hepatobiliary disease. In 44.4% patients, there were no underlying diseases. Acute renal failure and shock occurred in 33.3% patients. All of the isolated strain were resistant to ampicillin, and only 1 case was resistant to cephalothin, piperacillin/tazobactam.
  • Conclusion
    K. ornithinolytica bacteremia is commonly community acquired, especially in patients with hepatobiliary disease. Higher mortality was associated with acute renal failure and shock.

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    Citations to this article as recorded by  
    • A Case of Necrotizing Fasciitis Caused byRaoultella ornithinolytica
      Eui Joo Kim, Mi Ryoung Seo, Sung Keun Park, Ji Won Lee, Jin Yong Kim, Sue-Yun Kim, Yong Kyun Cho
      Infection and Chemotherapy.2010; 42(6): 411.     CrossRef

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    Ihwa Ŭidae chi. 2008;31(1):3-7.   Published online June 30, 2008
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    Ihwa Ŭidae chi. 2008;31(1):3-7.   Published online June 30, 2008
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