Ciprofloxacin-Resistant Kerstersia gyiorum Isolated From a Chronic Wound in Brazil: A Case Report.

Autor: Pires BMFB; Faculty of Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil., de Oliveira BGRB; School of Nursing Aurora of Afonso Costa, Fluminense Federal University, Niterói, Brazil., de Oliveira FP; São Lucas Hospital, Rio de Janeiro, Brazil., de Almeida Silva KCF; Fluminense Federal University, Niterói, Brazil., Del Peloso PF; Richet Laboratory, Rio de Janeiro, Brazil., Ferreira-Carvalho BT; Microbiology Laboratory Paulo de Góes, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil., de Paula GR; Faculty of Pharmacy, Fluminense Federal University, Niterói, Brazil., Teixeira LA; Faculty of Pharmacy, Fluminense Federal University, Niterói, Brazil.
Jazyk: angličtina
Zdroj: Wound management & prevention [Wound Manag Prev] 2020 Oct; Vol. 66 (10), pp. 42-45.
Abstrakt: The presence of Kerstersia gyiorum in lower leg wounds has been reported in case studies from several countries.
Objective: This study evaluated the antimicrobial susceptibility profile of K gyiorum isolated from a chronic wound.
Methods: An 85-year-old woman with chronic venous insufficiency presented to an intermediate care unit in Niteroi City, Rio de Janeiro, Brazil, with an instep chronic wound of 14 cm² with wound duration of 6 months. K gyiorum was identified by matrix-assisted laser desorption ionization-time of flight, confirmed by 16S rRNA partial sequence analysis, and classified as resistant for ciprofloxacin by reagent strips(minimum inhibitory concentration [MIC] = 32 µg/mL) and the broth macrodilution method (MIC = 8 µg/mL). Intermediate resistance for ciprofloxacin was verified by microscan (MIC = 2 µg/mL).
Conclusion: The authors identified the first, to their knowledge, lower leg wound with K gyiorum in Brazil and verified that it was ciprofloxacin resistant.
Databáze: MEDLINE