Complement levels in patients with bloodstream infection due to Staphylococcus aureus or Gram-negative bacteria.

Journal Article (Journal Article)

The complement system is a vital component of the innate immune system, though its role in bacteremia is poorly understood. We present complement levels in Staphylococcus aureus bacteremia (SAB) and Gram-negative bacteremia (GNB) and describe observed associations of complement levels with clinical outcomes. Complement and cytokine levels were measured in serum samples from 20 hospitalized patients with SAB, 20 hospitalized patients with GNB, 10 non-infected hospitalized patients, and 10 community controls. C5a levels were significantly higher in patients with SAB as compared to patients with GNB. Low C4 and C3 levels were associated with septic shock and 30-day mortality in patients with GNB, and elevated C3 was associated with a desirable outcome defined as absence of (1) septic shock, (2) acute renal failure, and (3) death within 30 days of bacteremia. Low levels of C9 were associated with septic shock in patients with GNB but not SAB. Elevated IL-10 was associated with increased 30-day mortality in patients with SAB. Complement profiles differ in patients with SAB and those with GNB. Measurement of IL-10 in patients with SAB and of C4, C3, and C9 in patients with GNB may help to identify those at higher risk for poor outcomes.

Full Text

Duke Authors

Cited Authors

  • Eichenberger, EM; Dagher, M; Ruffin, F; Park, L; Hersh, L; Sivapalasingam, S; Fowler, VG; Prasad, BC

Published Date

  • November 2020

Published In

Volume / Issue

  • 39 / 11

Start / End Page

  • 2121 - 2131

PubMed ID

  • 32621149

Pubmed Central ID

  • 32621149

Electronic International Standard Serial Number (EISSN)

  • 1435-4373

Digital Object Identifier (DOI)

  • 10.1007/s10096-020-03955-z

Language

  • eng

Conference Location

  • Germany