Abstract:Moraxella bovis was repeatedly isolated from cerebrospinal fluid in a girl with two episodes of shunt nephritis. Clinical remission of nephritis was achieved only after shunt replacement. A list of about 20 infectious agents reported to date in patients with shunt nephritis is given. M. bovis is yet another agent previously not reported in patients with shunt nephritis.
“…Polyarticular septic arthritis secondary to Moraxella species has previously been described in several case reports, but Moraxella bovis is almost exclusively associated with infectious bovine keratoconjunctivitis in cattle (1)(2)(3)(4)(5). Only one previous case report of ventriculoatrial (VA) shunt nephritis secondary to M. bovis in a pediatric patient has previously been described (6). Here, we describe the first case of bacteremia and polyarticular septic arthritis secondary to M. bovis in an adult patient.…”
Section: Introductionmentioning
confidence: 78%
“…Moraxella species apart from M. catarrhalis are extremely uncommon pathogens in human hosts, but case reports have described Moraxella species as unusual causes of invasive infections in humans, including septic arthritis, endocarditis, bacteremia, and meningitis (1)(2)(3)(4)(6)(7)(8)(9)(10)(11)(12)(13)(14). Risk factors for invasive disease secondary to Moraxella species may relate to comorbidities, immunocompromising conditions, injection drug use, and inherited and acquired complement deficiencies (1,4,8,15).…”
Section: Discussionmentioning
confidence: 99%
“…Here, we describe the first case of bacteremia and polyarticular septic arthritis secondary to M. bovis in an adult patient and the second case in the literature of an invasive human infection secondary to M. bovis. We identified a prior case of invasive infection of secondary M. bovis in an 11-year-old girl with congenital hydrocephalus who had bilateral VA shunts placed in the first year of life (6). The patient's cerebrospinal fluid (CSF) cultures persistently grew M. bovis, and over the same time period she developed a mesangial proliferative glomerulonephritis (MPGN) that was confirmed by renal biopsy.…”
CASE PRESENTATION: We report a rare case of Moraxella bovis bacteremia and polyarticular septic arthritis in a 37-year-old pregnant woman with HIV who injects drugs. Two sets of blood cultures obtained 5 hours apart were positive for gram-negative bacilli, and purulent fluid was present intra-operatively from both her left knee and her right third MCP joints. DIAGNOSIS: Organism identification using ligation sequencing confirmed both her blood culture and synovial tissue isolates as M. bovis. Her infection was initially treated with third-generation cephalosporins and later changed to moxifloxacin because of a drug reaction; although she defervesced clinically with improvement in her C-reactive protein levels, she died most likely as a result of a non-traumatic fat embolism after an elective Caesarean delivery. DISCUSSION: In contrast to Moraxella catarrhalis, other Moraxella species are rarely associated with disease in human hosts. M. bovis is classically associated with infectious bovine keratoconjunctivitis in cattle; interestingly, our patient denied significant animal exposure. To the authors’ knowledge, this is the first case describing infection secondary to M. bovis in an adult host.
“…Polyarticular septic arthritis secondary to Moraxella species has previously been described in several case reports, but Moraxella bovis is almost exclusively associated with infectious bovine keratoconjunctivitis in cattle (1)(2)(3)(4)(5). Only one previous case report of ventriculoatrial (VA) shunt nephritis secondary to M. bovis in a pediatric patient has previously been described (6). Here, we describe the first case of bacteremia and polyarticular septic arthritis secondary to M. bovis in an adult patient.…”
Section: Introductionmentioning
confidence: 78%
“…Moraxella species apart from M. catarrhalis are extremely uncommon pathogens in human hosts, but case reports have described Moraxella species as unusual causes of invasive infections in humans, including septic arthritis, endocarditis, bacteremia, and meningitis (1)(2)(3)(4)(6)(7)(8)(9)(10)(11)(12)(13)(14). Risk factors for invasive disease secondary to Moraxella species may relate to comorbidities, immunocompromising conditions, injection drug use, and inherited and acquired complement deficiencies (1,4,8,15).…”
Section: Discussionmentioning
confidence: 99%
“…Here, we describe the first case of bacteremia and polyarticular septic arthritis secondary to M. bovis in an adult patient and the second case in the literature of an invasive human infection secondary to M. bovis. We identified a prior case of invasive infection of secondary M. bovis in an 11-year-old girl with congenital hydrocephalus who had bilateral VA shunts placed in the first year of life (6). The patient's cerebrospinal fluid (CSF) cultures persistently grew M. bovis, and over the same time period she developed a mesangial proliferative glomerulonephritis (MPGN) that was confirmed by renal biopsy.…”
CASE PRESENTATION: We report a rare case of Moraxella bovis bacteremia and polyarticular septic arthritis in a 37-year-old pregnant woman with HIV who injects drugs. Two sets of blood cultures obtained 5 hours apart were positive for gram-negative bacilli, and purulent fluid was present intra-operatively from both her left knee and her right third MCP joints. DIAGNOSIS: Organism identification using ligation sequencing confirmed both her blood culture and synovial tissue isolates as M. bovis. Her infection was initially treated with third-generation cephalosporins and later changed to moxifloxacin because of a drug reaction; although she defervesced clinically with improvement in her C-reactive protein levels, she died most likely as a result of a non-traumatic fat embolism after an elective Caesarean delivery. DISCUSSION: In contrast to Moraxella catarrhalis, other Moraxella species are rarely associated with disease in human hosts. M. bovis is classically associated with infectious bovine keratoconjunctivitis in cattle; interestingly, our patient denied significant animal exposure. To the authors’ knowledge, this is the first case describing infection secondary to M. bovis in an adult host.
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