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Open Access Highly Accessed Case report

Descending necrotizing Mediastinitis caused by Kocuria rosea: a case report

Mi Kyung Lee, Soon Ho Choi and Dae Woong Ryu*

Author Affiliations

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University, Shinyong-dong 344-2, Iksan, Jeonbuk, Republic of Korea

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BMC Infectious Diseases 2013, 13:475  doi:10.1186/1471-2334-13-475

Published: 11 October 2013

Abstract

Background

Kocuria species are gram-positive, non-pathogenic commensals. However, in immunocompromised patients such as transplant recipients, cancer patients, or patients with chronic medical conditions, they can cause opportunistic infections.

Case presentation

We report the first case of descending necrotizing mediastinitis in a 58-year-old, relatively healthy woman caused by Kocuria rosea.

Conclusion

Descending necrotizing mediastinitis due to Kocuria rosea can be successfully treated with prompt surgical drainage combined with antimicrobial therapy.

Keywords:
Kocuria rosea; Descending necrotizing mediastinitis