Indian Journal of Critical Care Case Report

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VOLUME 1 , ISSUE 2 ( September-October, 2022 ) > List of Articles


A Rare Case Report of Pneumonia with Bloodstream Infection by Kocuria kristinae

Bhavinkumar Patel, Karan Shah, Yogesh Bhargava

Keywords : Acute respiratory distress syndrome, Cytokine removal therapy, Cytokine storm, Kocuria kristinae, Septic shock, Subcutaneous emphysema

Citation Information : Patel B, Shah K, Bhargava Y. A Rare Case Report of Pneumonia with Bloodstream Infection by Kocuria kristinae. 2022; 1 (2):37-39.

DOI: 10.5005/jp-journals-11006-0014

License: CC BY-NC 4.0

Published Online: 04-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


We are presenting a rare case of pneumonia with acute respiratory distress syndrome (ARDS), septic shock, and cytokine storm by Kocuria kristinae. K. kristinae is usually a commensal, but it can be a pathogenic organism as well. We started teicoplanin as per the culture sensitivity report and continued for 10 days. We did ARDSnet protocol ventilation along with cytokine removal therapy as interleukin 6 (IL-6) level was very high (>5000) during and after cytokine removal therapy, oxygen, and vasopressors requirement reduced dramatically. The patient also developed subcutaneous emphysema, so the peep was reduced, which resolved conservatively. Over the period of time patient improved, was extubated, and discharged.

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  1. Hassan RM, Bassiouny DM, Matar Y. Bacteremia caused by Kocuria kristinae from Egypt: are there more? A case report and review of the literature. Case Rep Infect Dis 2016;2016(1):1–4. DOI: 10.1155/2016/6318064
  2. Napolitani M, Troiano G, Bedogni C, et al. Kocuria kristinae: an emerging pathogen in medical practice. J Med Microbiol 2019;68(11):1596–1603. DOI: 10.1099/jmm.0.001023
  3. Kandi V, Palange P, Vaish R, et al. Emerging bacterial infection: identification and clinical significance of Kocuria species. Cureus 2016;8(8):e731. DOI: 10.7759/cureus.731
  4. Kim KY, Cho JH, Yu CM, et al. A case of community-acquired bacteremic empyema caused by Kocuria kristinae. Infect Chemother 2018;50(2):144–148. DOI: 10.3947/ic.2018.50.2.144
  5. Mattern RM, Ding J. Keratitis with Kocuria palustris and Rothia mucilaginosa in vitamin A deficiency. Case Rep Ophthalmol 2014;5(1):72–77. DOI: 10.1159/000360391
  6. Szczerba I. Susceptibility to antibiotics of bacteria from genera Micrococcus, Kocuria, Nesterenkonia, Kytococcus and Dermacoccus. Med Dosw Mikrobiol 2003;55(1):75–80.
  7. Tewari R, Dudeja M, Das AK, et al. Kocuria kristinae in catheter associated urinary tract infection: a case report. J Clin Diagn Res 2013;7(8):1692–1693. DOI: 10.7860/JCDR/2013/6077.3247
  8. Lee MK, Choi SH, Ryu DW. Descending necrotizing Mediastinitis caused by Kocuria rosea: a case report. BMC Infect Dis 2013;13(1):475. DOI: 10.1186/1471-2334-13-475
  9. Bernshteyn M, Kumar PA, Joshi S. Kocuria kristinae pneumonia and bacteremia. Proc (Bayl Univ Med Cent) 2020;33(4):608–609. DOI: 10.1080/08998280.2020.1792749
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