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.
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 firstname.lastname@example.org.