CRBSI following water contamination

"The likely source of infection was his tunnelled central venous catheter exposed to water contaminated by faeces when he was washing the pig pen" Harper et al (2022).

"The likely source of infection was his tunnelled central venous catheter exposed to water contaminated by faeces when he was washing the pig pen" Harper et al (2022).

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CRBSI following water contamination

Abstract:

A 34-year-old man on active chemotherapy was hospitalised with fever, chills and rigours after power-washing a pig pen on a farm. His blood cultures grew Leclercia adecarboxylata, a gram-negative rod in the Enterobacteriaceae family, which has been isolated from a variety of environments including soil, surface water, as well as in the gastrointestinal flora of farm animals. The likely source of infection was his tunnelled central venous catheter exposed to water contaminated by faeces when he was washing the pig pen. While there have been several cases reported of catheter-related L. adecarboxylata bacteraemia, to our knowledge there are very few reports of infection spread in this manner.

Reference:

Harper H, Logan J, Kubat R, Jones M. Leclercia adecarboxylata catheter-related bacteraemia in an immunocompromised patient. BMJ Case Rep. 2022 Mar 24;15(3):e247496. doi: 10.1136/bcr-2021-247496. PMID: 35332006.