Chryseobacterium indologenes Ventilator-Associated Pneumonia in an Elderly Patient: A Case Report.

Autor:	Fadlallah MM; Department of Laboratory Medicine, Al-Zahraa Hospital University Medical Center, Beirut, LBN.; Department of Laboratory Medicine, Lebanese University, Faculty of Medical Sciences, Beirut, LBN., Kharroubi DM; Department of Laboratory Medicine, Al-Zahraa Hospital University Medical Center, Beirut, LBN.; Department of Laboratory Medicine, Lebanese University, Faculty of Medical Sciences, Beirut, LBN., Zeineddine Z; Department of Laboratory Medicine, Al-Zahraa Hospital University Medical Center, Beirut, LBN.; Department of Laboratory Medicine, Lebanese University, Faculty of Medical Sciences, Beirut, LBN., Salman SM; Department of Laboratory Medicine, Al-Zahraa Hospital University Medical Center, Beirut, LBN.; Department of Laboratory Medicine, Lebanese University, Faculty of Medical Sciences, Beirut, LBN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Jul 28; Vol. 14 (7), pp. e27426. Date of Electronic Publication: 2022 Jul 28 (Print Publication: 2022).
DOI:	10.7759/cureus.27426
Abstrakt:	Chryseobacterium indologenes is a rare non-fermenting gram-negative pathogen that can cause opportunistic infections in humans. Most infections are nosocomial and acquired through contaminated devices such as ventilators, endotracheal tubes, and indwelling catheters. An increasing number of infections have been reported in recent years after the first reported case of ventilator-associated pneumonia in 1993. Blood, lung, ocular, and peritoneal infections, among others, have been reported. The high rate of intrinsic resistance to broad-spectrum antibiotics is a matter of concern since there are no standard guidelines for the management and treatment of this infection. Here, we present the case of a 94-year-old female who was admitted and intubated after a cerebral vascular accident. During her stay, she developed a fever. The deep tracheal aspirate culture was positive for gram-negative bacilli with smooth, circular, and yellow-pigmented colonies that were later identified as C. indologenes . Antimicrobial susceptibility tests done with VITEK 2 and by the Kirby-Bauer disc diffusion method showed susceptibility to ciprofloxacin, minocycline, and trimethoprim-sulfamethoxazole and resistance to all other tested antimicrobials. The infection was successfully treated with ciprofloxacin antibiotic. To the best of our knowledge, this is the first reported case of C. indologenes infection in Lebanon. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Fadlallah et al.)
Databáze:	MEDLINE
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