{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T19:03:15Z","timestamp":1785178995577,"version":"3.55.0"},"reference-count":20,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,1]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p><jats:italic>Kocuria<\/jats:italic> species are normal commensals of the skin that have been found in various environmental niches and are usually considered nonpathogenic. However, according to recent literature, <jats:italic>Kocuria<\/jats:italic> spp. have been associated with human infections. <jats:italic>Kocuria palustris<\/jats:italic> is an emerging opportunistic pathogen with great potential to cause disease in immunocompromised patients. The isolation and identification of this pathogen is necessary, as timely treatment with the appropriate antibiotics can help in reducing mortality among these patients. We present three cases of bacteremia in immunocompromised patients admitted to our hospital; one patient was receiving chemotherapy for gall bladder carcinoma, the second was on maintenance hemodialysis for chronic kidney disease, and the third was receiving chemotherapy for acute myeloid leukemia. All three patients presented with a fever in the setting of neutropenia during the course of treatment with chemotherapy (in Cases 1 and 3) or hemodialysis (in Case 2). The blood culture samples of all the patients had pure isolates of <jats:italic>Kocuria<\/jats:italic> species <jats:italic>K. palustris<\/jats:italic>, which was identified by matrix assisted laser desorption ionisation- time of flight mass spectrometry (MALDI-ToF MS). All three patients presented with febrile neutropenia during the course of treatment with chemotherapy (in Cases 1 and 3) or hemodialysis (in Case 2).<\/jats:p>","DOI":"10.4269\/ajtmh.23-0377","type":"journal-article","created":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T12:08:06Z","timestamp":1695038886000},"page":"1113-1117","source":"Crossref","is-referenced-by-count":8,"title":["Case Report: Case Series of Kocuria palustris Bacteremia among Immunocompromised Patients"],"prefix":"10.4269","volume":"109","author":[{"given":"Gerlin","family":"Varghese","sequence":"first","affiliation":[{"name":"Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashima","family":"Jamwal","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepika","family":"Sarawat","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinmoy","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangram Singh","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Tejan","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Cureus","first-page":"e731","article-title":"Emerging bacterial infection: identification and clinical significance of Kocuria species","volume":"8","author":"Kandi","year":"2016"},{"key":"b2","series-title":"Int J Syst Bacteriol","first-page":"682","article-title":"Taxonomic dissection of the genus Micrococcus: Kocuria gen. nov., Nesterenkonia gen. nov., Kytococcus gen. nov., Dermacoccus gen. nov., and Micrococcus Cohn 1872 gen. emend","volume":"45","author":"Stackebrandt","year":"1995"},{"key":"b3","series-title":"Int J Syst Evol Microbiol","first-page":"914","article-title":"Kocuria atrinae sp. nov., isolated from traditional Korean fermented seafood","volume":"60","author":"Park","year":"2010"},{"key":"b4","series-title":"Int J Syst Evol Microbiol","first-page":"139","article-title":"Reclassification of strain CCM 132, previously classified as Kocuria varians, as Kocuria carniphila sp. nov","volume":"55","author":"Tvrzov\u00e1","year":"2005"},{"key":"b5","series-title":"Indian Pediatr","first-page":"617","article-title":"Urinary tract infections: bacteriology and antibiotic resistance patterns","volume":"46","author":"Mashouf","year":"2009"},{"key":"b6","series-title":"BMC Infect Dis","first-page":"60","article-title":"Kocuria kristinae infection associated with acute cholecystitis","volume":"5","author":"Ma","year":"2005"},{"key":"b7","series-title":"J Clin Microbiol","first-page":"311","article-title":"Catheter-related bacteremia due to Kocuria kristinae in a patient with ovarian cancer","volume":"40","author":"Basaglia","year":"2002"},{"key":"b8","series-title":"J Infect Chemother","first-page":"305","article-title":"Catheter-related bacteremia caused by Kocuria salsicia: the first case","volume":"21","author":"Sohn","year":"2015"},{"key":"b9","series-title":"Nov. JMM Case Reports.","first-page":"e002022","article-title":"Kocuria dacryocystitis infection, caused by Kocuria ocularis sp","volume":"1","author":"Domont","year":"2014"},{"key":"b10","series-title":"Case Rep Ophthalmol","first-page":"72","article-title":"Keratitis with Kocuria palustris and Rothia mucilaginosa in vitamin A deficiency","volume":"5","author":"Mattern","year":"2014"},{"key":"b11","series-title":"Braz J Infect Dis","first-page":"82","article-title":"Endocarditis by Kocuria rosea in an immunocompetent child","volume":"19","author":"Moreira","year":"2015"},{"key":"b12","series-title":"BMJ Case Rep","first-page":"bcr2013010339","article-title":"Dancing vegetations: Kocuria rosea endocarditis","volume":"2013","author":"Srinivasa","year":"2013"},{"key":"b13","series-title":"Med Mal Infect","first-page":"165","article-title":"Bacteremia caused by Kocuria kristinae in a patient with acute leukaemia [in French]","volume":"38","author":"Martinaud","year":"2008"},{"key":"b14","series-title":"J Clin Microbiol","first-page":"3376","article-title":"Two cases of peritonitis caused by Kocuria marina in patients undergoing continuous ambulatory peritoneal dialysis","volume":"47","author":"Lee","year":"2009"},{"key":"b15","series-title":"BMC Infect Dis","first-page":"719","article-title":"First report of Kocuria marina spontaneous peritonitis in a child","volume":"14","author":"Br\u00e4ndle","year":"2014"},{"key":"b16","series-title":"BMC Infect Dis","first-page":"475","article-title":"Descending necrotizing mediastinitis caused by Kocuria rosea: a case report","volume":"13","author":"Lee","year":"2013"},{"key":"b17","series-title":"Surg Infect (Larchmt)","first-page":"659","article-title":"Kocuria rosea meningitis","volume":"15","author":"Sipahi","year":"2014"},{"key":"b18","series-title":"Enferm Infecc Microbiol Clin (Engl Ed)","first-page":"422","article-title":"Ulcerative keratitis due to Kocuria palustris: an emerging pathogen","volume":"37","author":"Almagro-Molto","year":"2019"},{"key":"b19","series-title":"Eye Contact Lens","first-page":"e20","article-title":"Epidemiology and outcomes of Kocuria keratitis","volume":"42","author":"Pedro-Aguilar","year":"2016"},{"key":"b20","series-title":"Int J Syst Bacteriol","first-page":"167","article-title":"Kocuria palustris sp. nov. and Kocuria rhizophila sp. nov., isolated from the rhizoplane of the narrow-leaved cattail (Typha angustifolia)","volume":"49","author":"Kov\u00e1cs","year":"1999"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/5\/article-p1113.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/109\/5\/article-p1113.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/109\/5\/article-p1113.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T13:44:36Z","timestamp":1698846276000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/5\/article-p1113.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,1]]},"references-count":20,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.23-0377","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,1]]}}}