<i>Chryseobacterium indologenes</i> subcutaneous port‐related bacteremia in a liver transplant patient

Shah, Sangeeta; Sarwar, Uzma; King, Esther; Lat, Asma

doi:10.1111/j.1399-3062.2011.00711.x

Cited by 16 publications

(18 citation statements)

References 21 publications

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“…Reports vary on the effectiveness of antibiotic treatment with or without removal of the indwelling device 9 15 18 33–35. In general, when there is failure to respond to appropriate antibiotic treatment, indwelling catheters should be removed 15.…”

Section: Discussionmentioning

confidence: 99%

Chryseobacterium indologenes: an emerging infection in the USA

et al. 2016

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Nursing home-associated infections and antibiotic resistant pathogens constitute common and serious problems in the geriatric population.Chryseobacterium indologenes, a non-motile Gram-negative rod, though widely distributed in nature, is an uncommon human pathogen. Typically thought of as an organism of low virulence, it may cause serious infections, particularly among the immunocompromised. The majority of reported cases are nosocomial, often associated with immunosuppression or indwelling catheters. It has been reported as the causative agent in bacteraemia, peritonitis, pneumonia, empyema, pyelonephritis, cystitis, meningitis and central venous catheter-associated infections. We report a rare case of C. indologenesinfection affecting a nursing home resident in the USA and we provide a review of similar cases. This report emphasises the importance of individualised treatment and promotes awareness about this organism as one of several emerging pathogens in immunocompromised adults and in the frail elderly who are often nursing home residents, in the Western Hemisphere.

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Section: Discussionmentioning

confidence: 99%

Chryseobacterium indologenes: an emerging infection in the USA

et al. 2016

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“…C indologenes has been reported to cause primary bacteraemia,9 13 catheter-related bacteraemia,7 10 11 15 wound sepsis,13 16 cellulitis,17 pyelonephritis,13 peritonitis,13 biliary tract infection,13 urinary tract infection,18 pneumonia13 14 and keratitis of the eye 19. Infections caused by all Chryseobacterium species combined represent only 0.03% of all bacterial isolates collected by the SENTRY Program during the 5-year period evaluated (1997–2001) with about 40% due to C indologenes 20.…”

Section: Discussionmentioning

confidence: 99%

“…Some estimates suggest that, to date, there have been 283 reported cases of C indologenes -associated infections, most of which have been in countries like Taiwan and India 12 13 18 21–23. Only about 10 of the reported cases of C indologenes seem to have occurred outside of Asia, including few in the USA 7 15 17. Most of the infections have been associated with indwelling devices, especially intravascular catheters and mechanical ventilators 7 10 11 14 15 18.…”

Section: Discussionmentioning

confidence: 99%

“…Only about 10 of the reported cases of C indologenes seem to have occurred outside of Asia, including few in the USA 7 15 17. Most of the infections have been associated with indwelling devices, especially intravascular catheters and mechanical ventilators 7 10 11 14 15 18. However, removal of the indwelling device was not required for successful treatment in a number of the reported cases 22 23…”

Section: Discussionmentioning

confidence: 99%

“…Studies suggest that most isolates of C indologenes have resistance to carbapenems, aminoglycosides, chloramphenicol, tetracyclines, macrolides, linezolid and vancomycin 7 20. Hence, clinicians should use antimicrobial susceptibility testing in order to ensure definitive and appropriate treatment of C indologenes -associated infections and prevent complications of peritonitis to occur.…”

Section: Discussionmentioning

confidence: 99%

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Chryseobacterium indologenesperitonitis in peritoneal dialysis

Afshar

Nobakht

Lew³

2013

BMJ Case Reports

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Peritoneal dialysis-related peritonitis remains a major complication of peritoneal dialysis in patients with end-stage renal disease. Chryseobacterium indologenes is a rare organism that has been reported to cause infections mostly in hospitalised patients with severe underlying diseases. We report the first case of C indologenes peritonitis in a patient on peritoneal dialysis outside of Asia. Our patient with end-stage renal disease on peritoneal dialysis grew C indologenes from peritoneal fluid when he presented with abdominal pain and cloudy effluent. The patient responded well to intraperitoneal antibiotic therapy. Tenckhoff catheter did not require removal. This case demonstrates the importance of considering rare causes of peritonitis, such as C indologenes, in patients on peritoneal dialysis. Given the resistance of such organisms to commonly used broad-spectrum antibiotics, antimicrobial susceptibility testing must be assessed as early as possible to assure appropriate antibiotic coverage to avoid untreated peritonitis leading to peritoneal dialysis failure.

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Mycophenolate mofetil

2013

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Chryseobacterium indologenes subcutaneous port‐related bacteremia in a liver transplant patient

Cited by 16 publications

References 21 publications

Chryseobacterium indologenes: an emerging infection in the USA

Chryseobacterium indologenes: an emerging infection in the USA

Chryseobacterium indologenesperitonitis in peritoneal dialysis

Mycophenolate mofetil

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