Korean J Clin Microbiol.  2001 Sep;4(2):139-141.

A Case of Hafnia alvei Peritonitis with Septicemia

Affiliations
  • 1Department of Clinical Pathology, Hallym University College of Medicine, Seoul, Korea. swonkeun@netsgo.com

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.

Keyword

Hafnia alvei; Extraintestinal infection; Peritonitis; Septicemia

MeSH Terms

Abdominal Pain
Anti-Infective Agents
Ascitic Fluid
Bacteremia
Carcinoma, Hepatocellular
Cefazolin
Cefotaxime
Gastroenteritis
Hafnia alvei*
Hafnia*
Humans
Korea
Meningitis
Middle Aged
Peritonitis*
Pneumonia
Sepsis*
Wound Infection
Anti-Infective Agents
Cefazolin
Cefotaxime
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