Citrobacter braakii, an Unusual Organism: Case Report and Literature Review
Citrobacter braakii, um Organismo Incomum: Caso Clínico e Revisão de Literatura
DOI:
https://doi.org/10.60591/crspmi.232Keywords:
Abscess/complicações, Bacteremia, Citrobacter, Drug Resistance, Microbial, Enterobacteriaceae InfectionsAbstract
Citrobacter braakii, a Gram-negative bacterium belonging
to the Enterobacteriaceae family, is recognized as an
opportunistic pathogen.
We present the case of an 81-year-old man, immunocompromised, with multiple comorbidities, including myelodysplastic syndrome and rectal adenocarcinoma. The patient initially presented with a fever, decline in general condition and refusal to eat. From the initial complementary study, COVID-19 was diagnosed, and supportive care was initiated. During hospitalization, given the persistence of fever and elevated inflammatory markers, we repeated the microbiological study, revealing bacteremia caused by Citrobacter braakii. Subsequent images identified an abscess related to anastomotic dehiscence, the most likely source of infection.
With the description of this case, we intend to raise awareness of the importance of recognizing C. braakii as a potential agent, especially in immunocompromised patients.
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Copyright (c) 2024 Alexandra Machado, Luís Fernandes, Diana Dias, Heloísa Ribeiro
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