Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

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pISSN 2288-0585 eISSN 2288-6850

A Case of Hafnia alvei Peritonitis with Septicemia

Case report

Annals of Clinical Microbiology (Ann Clin Microbiol) 2001 December Volume 4, Issue 2, pages 139-141.

A Case of Hafnia alvei Peritonitis with Septicemia

Wonkeun Song, M.D., Taek-Kyung Kim, M.T., Min-Jeong Park, M.D., and Kyu Man Lee, M.D.

Department of Clinical Pathology, Hallym University College of Medicine, Seoul, Korea

Abstract

Hafnia alvei is gram-negative bacilli that is rarely isolated from human specimens and is rarely considered to be pathogenic. It has been associated with gastroenteritis, pneumonia, meningitis, bacteremia, and nosocomial wound infections. But, no case of extraintestinal H. alvei infection was documented in Korea to our knowledge. A 50-year-old man with hepatocellular carcinoma was admitted to our hospital via emergecy department because of abdominal pain. The peritoneal fluid and 3 consecutive blood cutures yielded H. alvei. The organism was susceptible to all antimicrobial agents tested, except cefazolin. Despite treatment with intravenous cefotaxime, the patient was expired after 4 days due to septicemia. (Korean J Clin Microbiol 2001;4(2):139-141)

Keywords

Hafnia alvei, Extraintestinal infection, Peritonitis, Septicemia