Abstract
BackgroundHelicobacter cinaedi causes bacteremia without characteristic clinical symptoms and is firstly isolated from human immunodeficiency virus (HIV)-positive homosexual men.FindingsHere we describe, for the first time case report, two female patients with diabetes who had H. cinaedi bacteremia. Some cases of H. cinaedi bacteremia may require long-term administration of multiple antibiotics prior to the resolution of infection.ConclusionsTherefore, these cases indicate that it is important to consider H. cinaedi in patients with diabetes presenting with bacteremia, especially in patients with poor glycemic control.
Highlights
Helicobacter cinaedi is a Gram-negative enterohepatic bacterium of the Helicobacteraceae family that was first identified in 1985 among immunocompromised European and American men with human immunodeficiency virus (HIV) infections (Totten et al 1985)
We describe our experience with two patients with diabetes who had H. cinaedi bacteremia; in addition, we include a literature review
Case reports Case 1: A 76-year-old female with a history of slowly progressive type 1 diabetes, treated for 30 years. She was being treated for rheumatoid arthritis (oral prednisolone, 5 mg/day, and had poor glycemic control specified by a glycated hemoglobin (HbA1c) level of 7.8% while on a regimen of 50% insulin lispro protamine suspension and 50% insulin lispro injection
Summary
Helicobacter cinaedi is a Gram-negative enterohepatic bacterium of the Helicobacteraceae family that was first identified in 1985 among immunocompromised European and American men with human immunodeficiency virus (HIV) infections (Totten et al 1985). In Japan, the isolation of H. cinaedi from blood culture was first reported in 2003 (Murakami et al 2003), and it has since been occasionally isolated from samples obtained from patients with bacteremia and sepsis. We describe our experience with two patients with diabetes who had H. cinaedi bacteremia; in addition, we include a literature review.
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