Pneumonia due to Micrococcus spp. in a patient with acute myeloid leukaemia

A 26-year-old female patient with acute myeloid leukaemia was hospitalized for the second cycle of remission induction chemotherapy. While neutropenic she developed progressive pulmonary infiltrate, with Micrococcus spp. cultured from two consecutive bronchoalveolar lavage fluids, resulting in respi...

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Bibliographic Details
Published in:	Leukemia Vol. 6; no. 3; p. 224
Main Authors:	Adang, R P, Schouten, H C, van Tiel, F H, Blijham, G H
Format:	Journal Article
Language:	English
Published:	England 01-03-1992
Subjects:	Adult Bronchoalveolar Lavage Fluid - microbiology Female Gram-Positive Bacterial Infections - complications Gram-Positive Bacterial Infections - microbiology Humans Immunocompromised Host Leukemia, Myeloid, Acute - complications Leukemia, Myeloid, Acute - immunology Micrococcus - isolation & purification Opportunistic Infections - complications Opportunistic Infections - microbiology Pneumonia - complications Pneumonia - microbiology
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Summary:	A 26-year-old female patient with acute myeloid leukaemia was hospitalized for the second cycle of remission induction chemotherapy. While neutropenic she developed progressive pulmonary infiltrate, with Micrococcus spp. cultured from two consecutive bronchoalveolar lavage fluids, resulting in respiratory insufficiency. The patient died after an unsuccessful cardiopulmonary resuscitation. This report of micrococcal pneumonia emphasizes that the pathogenicity of this skin commensal is not limited to infections in tissues surrounding prosthetic devices or indwelling intravenous catheters. Especially in immunocompromised patients, Micrococcus spp. from bronchoalveolar lavage fluids cannot be lightly dismissed as non-pathogenic when pneumonia is considered.
ISSN:	0887-6924