micafungin and Klebsiella-Infections

Infection with either mobilized colistin resistance-1 gene-positive gram-negative bacteria or invasive Candida lusitaniae occurs rarely throughout the United States. Here we report the existence of both invasive infections occurring in a single, complex patient who initially presented with necrotizing pancreatitis and gastrointestinal bleeding. We detail the patient's history and perioperative course for enterocutaneous fistulae takedown and ureteral stenting, describe a template of preventative steps taken in the perioperative environment to prevent nosocomial pathogen transmission, and provide a brief overview of both the mobilized colistin resistance-1 gene and C lusitaniae.

Topics: Candidiasis, Invasive; Cilastatin, Imipenem Drug Combination; Coinfection; Drug Resistance, Multiple, Bacterial; Gastrointestinal Hemorrhage; Humans; Intestinal Fistula; Klebsiella Infections; Klebsiella pneumoniae; Male; Micafungin; Middle Aged; Pancreatitis, Acute Necrotizing; Treatment Outcome; Vancomycin