Journal Article

<i>Bacteroides fragilis</i> Bacteremia and Infected Aortic Aneurysm Presenting as Fever of Unknown Origin: Diagnostic Delay without Routine Anaerobic Blood Cultures

Judith A. O'Donnell and Lenore E. Asbel

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 5, pages 1309-1311
Published in print November 1999 | ISSN: 1058-4838
Published online November 1999 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/313429
Bacteroides fragilis Bacteremia and Infected Aortic Aneurysm Presenting as Fever of Unknown Origin: Diagnostic Delay without Routine Anaerobic Blood Cultures

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We report the case of a 71-year-old male with Bacteroides fragilis bactermia and infected aortic aneurysm that went undiagnosed, in part, because routine anaerobic blood cultures were not obtained. Bacteremia caused by anaerobes has been reported to be declining, and recommendations to discontinue routine anaerobic blood cultures have been implemented in some hospitals. To our knowledge, this is the first report of an anaerobic bacteremia and infection that had a delay in diagnosis due to this change in blood-culturing protocol. The potential impact of deleting anaerobic blood cultures from routine protocols is discussed.

Journal Article.  1923 words. 

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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