To: Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases - Critical Care Science (CCS)

To: Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases |

To the Editor,

I recently read the interesting report by Tejera et al. about Ralstonia pickettii, a gram-negative germ formerly of the Burkholderia group that infected two patients on hemodialyisis.⁽⁾ The first was a 65-year-old man with a chronic kidney disease and native arteriovenous fistula who, and was managed in the intensive care unit (ICU) because of development of a septic shock.⁽⁾ The transesophageal echocardiogram did not show vegetation, but cultures of blood and of dialysis fluid cultures revealed R. pickettii, which was controlled by with meropenem for two weeks.⁽⁾ The second was a 45-year-old hemodiyalytic man with chronic rejection of a kidney transplant who was admitted to the ICU because of fever, chills and hypotension.⁽⁾ The transthoracic echocardiogram showed a mitral vegetation. Moreover, the cultures of blood and of dialysis fluid cultures revealed R. pickettii, which was treated with piperacillin-tazobactam for three weeks.⁽⁾

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