SELF-INDUCED BACTEREMIA - CASE-REPORT

We describe a patient with perforated appendicitis who postoperatively suffered repeated episodes of shaking chills and temperature spikes. Initial blood cultures yielded growth of Flavobacterium meningosepticu m, Pseudomonas putida and Pseudomonas paucimobilis, and succeeding blo od cultures growth of Pseudomonas acidoverans. These bacteria in combi nation led to a suspicion of self-inoculation of contaminated water th rough an intravenous catheter. Antibiotic treatment had no effect on t he symptoms, which only ceased when the intravenous catheter was remov ed.