Gardener's Nightmare: A Rare Case of Myroides-Induced Septic Shock.

Autor: Foo RM; Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA., Nanavati SM; Department of Pulmonary and Critical Care Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Samuel A; Department of Pulmonary and Critical Care Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Lamm R; Department of Critical Care, St. Joseph's Regional Medical Center, Paterson, USA., Upadhyay S; Department of Pulmonary and Critical Care Medicine, St. Joseph's Regional Medical Center, Paterson, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2020 Dec 23; Vol. 12 (12), pp. e12235. Date of Electronic Publication: 2020 Dec 23.
DOI: 10.7759/cureus.12235
Abstrakt: Myroides species, an uncommon clinical isolate, generally found in contaminated sources of environment, is an emerging source of infections, especially amongst immunocompromised patients. Though only 54 cases have been reported to our knowledge, the emergence of pan-resistance to antibiotics remains a concern that may burden healthcare and require awareness. We present the case of an elderly female who despite being home-bound, without any environmental exposure, contracted Myroides septicemia that progressed to septic shock and showed resistance to usual empiric antibiotics. In our case, the patient was exposed to contaminated soil via her family and was successfully treated with carbapenem. The case provides awareness amongst clinicians to suspect this emerging yet threatening infection within immunocompromised patients.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Foo et al.)
Databáze: MEDLINE