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A Rare Case of Gas Forming Enterobacter cloacae Leading to Bleeding Mycotic Pseudoaneurysm of Transplant Renal Artery Culminating in Graft Nephrectomy.

Author information

Affiliations

  • 1. Centre of Renal Diseases and Transplantation, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
      Authors
    • Khalil MAM 1
    • Sadagah NM 1
    • Basha AA 1
    • Sakran HIM 1
    • Assiri IMN 1
    • Aboalsamh GA 1
    • Al-Qurashi SH 1
    (7 authors)
  • 2. Division of Adult Infectious Diseases, Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
      Authors
    • Alqurashi MM 2
    (1 author)

Journal of Medical Cases, 25 May 2024, 15(6):110-114
https://doi.org/10.14740/jmc4231 PMID: 38855292 

Abstract 

Enterobacter cloacae belongs to Enterobacter genus. It is a common gram-negative, facultative anaerobic, rod-shaped organism. It causes a variety of nosocomial infections including urinary tract infection, pneumonia, wound infection, osteomyelitis and endocarditis. Over time Enterobacter cloacae complex (ECC) has developed to be resistant to antibiotics including carbapenem. It has been rarely reported to cause gas gangrene and never been reported to cause pseudoaneurysm (PA) of transplant renal artery. We report and share our experience with this rare case of gas forming and muti-drug resistant ECC which led to mycotic PA of transplant renal artery, complicated by bleeding and infected hematoma and which resulted in graft nephrectomy.

Full text links 

Read article at publisher's site: https://doi.org/10.14740/jmc4231

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