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Chest, Vol 105, 1098-1100, Copyright © 1994 by American College of Chest Physicians
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A Klapholz, KD Lessnau, B Huang, W Talavera and JF Boyle
Division of Pulmonary/Critical Care Medicine, Cabrini Medical Center, New York, New York 10003.
In a retrospective review, a group of seven patients were found to have a sputum culture positive for Hafnia alvei. Hafnia alvei is a Gram- negative enteric and oropharyngeal bacillus and usually is nonpathogenic. All our patients had a chronic underlying illness and one of the patients was endotracheally intubated at the time of the isolation of this organism. Six of seven patients had other organisms isolated along with H alvei, and only one patient had a pure growth of H alvei confirmed by a culture obtained from a bronchoscopic protected brush specimen. All isolates displayed resistance to conventional antibiotics including cephalosporins and penicillins. Although rare, H alvei may be a potential pathogen in a patient with a chronic underlying illness.
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