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Fatal hemorrhagic pneumonia caused by infection due to Kytococcus sedentarius—a pathogen or passenger?

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Abstract

A 55-year old man developed a hemorrhagic pneumonia, likely due to infection with Kytococcus sedentarius during neutropenia following induction chemotherapy for acute myeloid leukemia. Severe mucosal barrier injury and the selective pressure of broad-spectrum antibiotics probably made it possible for this normally harmless commensal to penetrate the gut, spread through the blood stream, and invade the lungs.

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Authors and Affiliations

  1. Department of Oncology, University Medical Center St Radboud, PO Box 9101, 6500 HB, Nijmegen, The Netherlands

    Henriëtte Levenga

  2. Department of Hematology, University Medical Center St Radboud, PO Box 9101, 6500 HB, Nijmegen, The Netherlands

    Peter Donnelly, Nicole Blijlevens & Ben de Pauw

  3. Department of Medical Microbiology, University Medical Center St Radboud, PO Box 9101, 6500 HB, Nijmegen, The Netherlands

    Paul Verweij

  4. Department of Pathology, University Medical Center St Radboud, PO Box 9101, 6500 HB, Nijmegen, The Netherlands

    Hebste Shirango

Authors
  1. Henriëtte Levenga
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  2. Peter Donnelly
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  3. Nicole Blijlevens
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  4. Paul Verweij
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  5. Hebste Shirango
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  6. Ben de Pauw
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Correspondence to Henriëtte Levenga.

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Levenga, H., Donnelly, P., Blijlevens, N. et al. Fatal hemorrhagic pneumonia caused by infection due to Kytococcus sedentarius—a pathogen or passenger?. Ann Hematol 83, 447–449 (2004). https://doi.org/10.1007/s00277-003-0831-x

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  • DOI: https://doi.org/10.1007/s00277-003-0831-x

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