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Published in: BMC Infectious Diseases 1/2010

Open Access 01-12-2010 | Case report

Kocuria varians infection associated with brain abscess: A case report

Authors: Cheng-Yu Tsai, Shou-hsin Su, Yu-Hsin Cheng, Yu-lin Chou, Tai-Hsin Tsai, Ann-Shung Lieu

Published in: BMC Infectious Diseases | Issue 1/2010

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Abstract

Background

Kocuria, established by Stackebrandt et al., previously was classified into Micrococcus. Only two species, K. rosea and K. kristinae are reported to be associated as pathogenic and found with catheter-related bacteremia and acute cholecystitis.

Case presentation

We herein report the first case of brain abscess caused by Kocuria varians, a gram-positive microorganism, in a 52-year-old man. Hematogenous spread is the probable pathogenesis.

Conclusions

This report presents a case of Kocuria varians brain abscess successfully treated with surgical excision combined with antimicrobial therapy. In addition, Vitek 2 system has been used to identify and differentiate between coagulase-negative staphylococcus.
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Literature
1.
go back to reference Stackebrandt E, Koch C, Gvozdiak O, Schumann P: Taxonomic dissection of the genus Micrococcus: Kocuria gen. nov., Nesterenkonia gen. nov., Kytococcus gen. nov., Dermacoccus gen. nov., and Micrococcus Cohn 1872 gen. emend. Int J Syst Bacteriol. 1995, 45: 682-692. 10.1099/00207713-45-4-682.CrossRefPubMed Stackebrandt E, Koch C, Gvozdiak O, Schumann P: Taxonomic dissection of the genus Micrococcus: Kocuria gen. nov., Nesterenkonia gen. nov., Kytococcus gen. nov., Dermacoccus gen. nov., and Micrococcus Cohn 1872 gen. emend. Int J Syst Bacteriol. 1995, 45: 682-692. 10.1099/00207713-45-4-682.CrossRefPubMed
2.
go back to reference Greenberg MS: Handbook of Neurosurgery. 2001, New York: Thieme, 217-223. 5 Greenberg MS: Handbook of Neurosurgery. 2001, New York: Thieme, 217-223. 5
3.
go back to reference Jennett B, Miller JD: Infection after depressed fracture of skull implications for management of nonmissile injuries. J Neurosurg. 1972, 36: 333-339. 10.3171/jns.1972.36.3.0333.CrossRefPubMed Jennett B, Miller JD: Infection after depressed fracture of skull implications for management of nonmissile injuries. J Neurosurg. 1972, 36: 333-339. 10.3171/jns.1972.36.3.0333.CrossRefPubMed
4.
go back to reference Moorthy RK, Rajshekhar V: Management of brain abscess: an overview. Neurosurg Focus. 2008, 24 (6): E3-10.3171/FOC/2008/24/6/E3.CrossRefPubMed Moorthy RK, Rajshekhar V: Management of brain abscess: an overview. Neurosurg Focus. 2008, 24 (6): E3-10.3171/FOC/2008/24/6/E3.CrossRefPubMed
5.
go back to reference Marchiori C, Tonon E: Brain abscesses after extracranial infections of the head and neck area. HNO. 2003, 51 (10): 813-22. 10.1007/s00106-003-0827-9.CrossRefPubMed Marchiori C, Tonon E: Brain abscesses after extracranial infections of the head and neck area. HNO. 2003, 51 (10): 813-22. 10.1007/s00106-003-0827-9.CrossRefPubMed
6.
go back to reference Màrialigeti K: Kocuria palustris sp. nov. and Kocuria rhizophila sp. nov., isolated from the rhizoplane of the narrow-leaved cattail (Typha angustifolia). Int J Syst Bacteriol. 1999, 49: 167-173. 10.1099/00207713-49-1-167.CrossRefPubMed Màrialigeti K: Kocuria palustris sp. nov. and Kocuria rhizophila sp. nov., isolated from the rhizoplane of the narrow-leaved cattail (Typha angustifolia). Int J Syst Bacteriol. 1999, 49: 167-173. 10.1099/00207713-49-1-167.CrossRefPubMed
7.
go back to reference Fosse T, Peloux Y, Granthil C, Toga B, Bertrando J, Sethian M: Meningitis due to Micrococcus luteus. Infection. 1985, 13: 280-281. 10.1007/BF01645439.CrossRefPubMed Fosse T, Peloux Y, Granthil C, Toga B, Bertrando J, Sethian M: Meningitis due to Micrococcus luteus. Infection. 1985, 13: 280-281. 10.1007/BF01645439.CrossRefPubMed
8.
go back to reference Selladurai B, Sivakumaran S, Subramanian A, Mohamad AR: Intracranial suppuration caused by Micrococcus luteus. Br J Neurosurg. 1993, 7: 205-208. 10.3109/02688699309103481.CrossRefPubMed Selladurai B, Sivakumaran S, Subramanian A, Mohamad AR: Intracranial suppuration caused by Micrococcus luteus. Br J Neurosurg. 1993, 7: 205-208. 10.3109/02688699309103481.CrossRefPubMed
9.
go back to reference Wharton M, Rice JR, McCallum R, Gallis HA: Septic arthritis due to Micrococcus luteus. J Rheumatol. 1986, 13: 659-660.PubMed Wharton M, Rice JR, McCallum R, Gallis HA: Septic arthritis due to Micrococcus luteus. J Rheumatol. 1986, 13: 659-660.PubMed
10.
go back to reference Souhami L, Feld R, TuVnell PG, Fellner T: Micrococcus luteus pneumonia: a case report and review of the literature. Med Pediatr Oncol. 1979, 7: 309-314. 10.1002/mpo.2950070404.CrossRefPubMed Souhami L, Feld R, TuVnell PG, Fellner T: Micrococcus luteus pneumonia: a case report and review of the literature. Med Pediatr Oncol. 1979, 7: 309-314. 10.1002/mpo.2950070404.CrossRefPubMed
11.
go back to reference Peces R, Gago E, Tejada F, Laures AS, Alvarez-Grande J: Relapsing bacteraemia due to Micrococcus luteus in a haemodialysis patient with Perm-Cath catheter. Nephrol Dial Transplant. 1997, 12: 2428-2429. 10.1093/ndt/12.11.2428.CrossRefPubMed Peces R, Gago E, Tejada F, Laures AS, Alvarez-Grande J: Relapsing bacteraemia due to Micrococcus luteus in a haemodialysis patient with Perm-Cath catheter. Nephrol Dial Transplant. 1997, 12: 2428-2429. 10.1093/ndt/12.11.2428.CrossRefPubMed
12.
go back to reference Shanks D, Goldwater P, Pena A, Saxon B: Fatal Micrococcus sp. Infection in a child with leukaemia - a cautionary case. Med Pediatr Oncol. 2001, 37: 553-554. 10.1002/mpo.1253.CrossRefPubMed Shanks D, Goldwater P, Pena A, Saxon B: Fatal Micrococcus sp. Infection in a child with leukaemia - a cautionary case. Med Pediatr Oncol. 2001, 37: 553-554. 10.1002/mpo.1253.CrossRefPubMed
13.
go back to reference Altuntas F, Yildiz O, Eser B, Gundogan K, Sumerkan B, Cetin M: Catheter-related bacteremia due to Kocuria rosea in a patient undergoing peripheral blood stem cell transplantation. BMC Infect Dis. 2004, 4: 62-10.1186/1471-2334-4-62.CrossRefPubMedPubMedCentral Altuntas F, Yildiz O, Eser B, Gundogan K, Sumerkan B, Cetin M: Catheter-related bacteremia due to Kocuria rosea in a patient undergoing peripheral blood stem cell transplantation. BMC Infect Dis. 2004, 4: 62-10.1186/1471-2334-4-62.CrossRefPubMedPubMedCentral
14.
go back to reference Basaglia G, Carretto E, Barbarini D, Moras L, Scalone S, Marone P, De Paoli P: Catheter-related bacteremia due to Kocuria kristinae in a patient with ovarian cancer. J Clin Microbiol. 2002, 40: 311-313. 10.1128/JCM.40.1.311-313.2002.CrossRefPubMedPubMedCentral Basaglia G, Carretto E, Barbarini D, Moras L, Scalone S, Marone P, De Paoli P: Catheter-related bacteremia due to Kocuria kristinae in a patient with ovarian cancer. J Clin Microbiol. 2002, 40: 311-313. 10.1128/JCM.40.1.311-313.2002.CrossRefPubMedPubMedCentral
15.
go back to reference Edmond Ma, Chris Wong, Kristi Lai, Edmond Chan, Yam WC, Angus Chan: Kocuria kristinae infection associated with acute cholecystitis. BMC Infect Dis. 2005, 5: 60-10.1186/1471-2334-5-60.CrossRef Edmond Ma, Chris Wong, Kristi Lai, Edmond Chan, Yam WC, Angus Chan: Kocuria kristinae infection associated with acute cholecystitis. BMC Infect Dis. 2005, 5: 60-10.1186/1471-2334-5-60.CrossRef
16.
go back to reference Ben-Ami R, Navon-Venezia S, Schwartz D, Schlezinger Y, Mekuzas Y, Carmeli Y: Erroneous reporting of coagulase-negative staphylococci as Kocuria spp. by the Vitek 2 system. J Clin Microbiol. 2005, 43: 1448-1450. 10.1128/JCM.43.3.1448-1450.2005.CrossRefPubMedPubMedCentral Ben-Ami R, Navon-Venezia S, Schwartz D, Schlezinger Y, Mekuzas Y, Carmeli Y: Erroneous reporting of coagulase-negative staphylococci as Kocuria spp. by the Vitek 2 system. J Clin Microbiol. 2005, 43: 1448-1450. 10.1128/JCM.43.3.1448-1450.2005.CrossRefPubMedPubMedCentral
17.
go back to reference Ben-Ami R, Navon-Venezia S, Schwartz D, Carmeli Y: Infection of a Ventriculoatrial Shunt with Phenotypically Variable Staphylococcus epidermidis Masquerading as Polymicrobial Bacteremia Due to Various Coagulase- Negative Staphylococci and Kocuria varians. J Clin Microbiol. 2003, 41: 2444-2447. 10.1128/JCM.41.6.2444-2447.2003.CrossRefPubMedPubMedCentral Ben-Ami R, Navon-Venezia S, Schwartz D, Carmeli Y: Infection of a Ventriculoatrial Shunt with Phenotypically Variable Staphylococcus epidermidis Masquerading as Polymicrobial Bacteremia Due to Various Coagulase- Negative Staphylococci and Kocuria varians. J Clin Microbiol. 2003, 41: 2444-2447. 10.1128/JCM.41.6.2444-2447.2003.CrossRefPubMedPubMedCentral
18.
go back to reference Szczerba I: Susceptibility to antibiotics of bacteria from genera Micrococcus, Kocuria, Nesternkonia, Kytococcus and Dermacoccus. Med Dosw Mikrobiol. 2003, 55: 75-80.PubMed Szczerba I: Susceptibility to antibiotics of bacteria from genera Micrococcus, Kocuria, Nesternkonia, Kytococcus and Dermacoccus. Med Dosw Mikrobiol. 2003, 55: 75-80.PubMed
Metadata
Title
Kocuria varians infection associated with brain abscess: A case report
Authors
Cheng-Yu Tsai
Shou-hsin Su
Yu-Hsin Cheng
Yu-lin Chou
Tai-Hsin Tsai
Ann-Shung Lieu
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2010
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/1471-2334-10-102

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