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Superbug Meets Opportunistic Infection: A Case Report of Mobilized Colistin Resistance-1–Positive Klebsiella pneumoniae and Candida lusitaniae in a Complex Surgical Patient

Weimer, Jonathan M. MD, MS; Ellis, Dan B. MD

doi: 10.1213/XAA.0000000000000923
Case Reports
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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.

From the Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.

Accepted for publication September 25, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Jonathan M. Weimer, MD, MS, Department of Anesthesia, Critical Care, and Pain Management, Massachusetts General Hospital, 55 Fruit St, GRJ-4–438, Boston, MA 02114. Address e-mail to jweimer@mgh.harvard.edu.

Copyright © 2018 International Anesthesia Research Society
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