A Case of Citrobacter braakii Sepsis Complicated with Hepatocellular Carcinoma.

Author: Hae Mi LEE ¹ ; Sung Ha BAE ; Su Nam LEE ; Jung Woo LEE ; Ah Young SHIN ; Si Young YU ; Soo Yeon LEE ; Moon Hee YOUN ; Sun Young HAN ; Nam Ik HAN ; Young Sok LEE ; Jin Hong YOO
Author Information

1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jhyoo@catholic.ac.kr
Publication Type:Case Report
Keywords: Citrobacter braakii; Biloma; Sepsis
MeSH: Carcinoma, Hepatocellular; Citrobacter; Citrobacter freundii; Humans; Immunocompromised Host; Korea; Opportunistic Infections; Sepsis; Shock, Septic
From:Infection and Chemotherapy 2010;42(3):190-193
CountryRepublic of Korea
Language:Korean
Abstract: Citrobacter species is a gram-negative bacilli that can cause opportunistic infections in immunocompromised hosts. Citrobacter braakii refers to the genomospecies 6 of the Citrobacter freundii complex. There are no detailed studies on infections caused by this newly identified specific genetic species in Korea. We herein report a case of a patient with hepatocellular carcinoma who, after undergoing transcatheter arterial chemoembolization, developed biloma which later progressed to C.braakii sepsis and did not respond to treatment. To our knowledge, this is the first reported case in Korea on C. braakii infection resulting in septic shock in a patient with malignancy in Korea.