A Rare Case of Gas Forming Enterobacter cloacae Leading to Bleeding Mycotic Pseudoaneurysm of Transplant Renal Artery Culminating in Graft Nephrectomy.
Muhammad Abdul Mabood KhalilNihal Mohammed SadagahMoayad Majed AlqurashiAhmed Abdelahad BashaHisham Ismael Mohamed SakranIbrahim Mohammed Nasser AssiriGhaleb Anas AboalsamhSalem H Al-QurashiPublished in: Journal of medical cases (2024)
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.
Keyphrases
- rare case
- multidrug resistant
- gram negative
- drug resistant
- acinetobacter baumannii
- klebsiella pneumoniae
- urinary tract infection
- room temperature
- robot assisted
- microbial community
- endovascular treatment
- wastewater treatment
- editorial comment
- escherichia coli
- methicillin resistant staphylococcus aureus
- risk assessment
- cystic fibrosis
- staphylococcus aureus
- ionic liquid
- respiratory failure
- sewage sludge
- wound healing