Fatal sepsis caused by an unusual Klebsiella species that was misidentified by an automated identification system

Author:

Seki Masafumi1,Gotoh Kazuyoshi2,Nakamura Shota2,Akeda Yukihiro3,Yoshii Tadashi4,Miyaguchi Shinichi4,Inohara Hidenori4,Horii Toshihiro2,Oishi Kazunori3,Iida Tetsuya2,Tomono Kazunori1

Affiliation:

1. Division of Infection Control and Prevention, Osaka University, Suita City, Osaka, Japan

2. Department of Infection Metagenomics, Genome Information Research Center, Osaka University, Suita City, Osaka, Japan

3. Laboratory for Clinical Research on Infectious Diseases, International Research Center for Infectious Diseases, Research Institute for Microbial Diseases, Osaka University, Suita City, Osaka, Japan

4. Department of Otorhinolaryngology – Head and Neck Surgery, Graduate School of Osaka University Medical Sciences, Osaka University, Suita City, Osaka, Japan

Abstract

This is a description of fatal sepsis caused by infection with Klebsiella variicola, which is an isolate genetically related to Klebsiella pneumoniae. The patient’s condition was incorrectly diagnosed as common sepsis caused by K. pneumoniae, which was identified using an automated identification system, but next-generation sequencing and the non-fermentation of adonitol finally identified the cause of sepsis as K. variicola.

Publisher

Microbiology Society

Subject

Microbiology (medical),General Medicine,Microbiology

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