학술논문
Multidrug-Resistant Elizabethkingia anophelis, A Rare Causative Agent of Bacteremia in a Hemodialysis Patient Hospitalized in the Intensive Care Unit: First Case in North Cyprus
CASE REPORT
CASE REPORT
Document Type
Academic Journal
Source
Cyprus Journal of Medical Sciences. June 2023, Vol. 8 Issue 3, p237, 4 p.
Subject
Language
English
ISSN
2149-7893
Abstract
INTRODUCTION Bacteria in the genus Elizabethkingia spp. are Gram-negative, aerobic, pale, yellow pigmented, non-motile, non-glucose fermenting, and oxidase positive. They are ubiquitously distributed in nature, including water, soil, sediment, plants, [...]
Elizabethkingia spp. bacteria are found in living and non-living things. Elizabethkingia meningoseptica (E. meningoseptica) and Elizabethkingia anophelis (E. anophelis) are the leading species that can cause diseases in humans. Most of the infections (80- 87.5%) caused by E. anophelis are hospital-acquired. This bacterium is generally identified as E. meningoseptica by automated systems. In this study, a case of bacteremia due to E. anophelis in a hemodialysis patient is presented. This patient is a 72 years old female who is hospitalized in the intensive care unit. She was referred to the Near East University Hospital from the state hospital with pneumonia. E. anophelis was isolated from the patient's blood culture by the VITEK-2 automated system. The isolated bacteria were stored at -80 [degrees]C and detected as E. anophelis by matrix-assisted laser desorption ionization time of flight. Success was achieved by adding levofloxacin to the ongoing meropenem treatment in our patient. Although the transmission route of our case with multidrug resistance is not exactly known, it is assumed that the transmission originated from the hospital. In this regard, increasing control measures in hospitals, mainly in water systems, will prevent such infections and deaths. In addition, it is concluded that for treating infections caused by Elizabethkingia, the use of fluoroquinolones should be the first choice. Keywords: Elizabethkingia anophelis, bacteremia, hemodialysis, rare, North Cyprus
Elizabethkingia spp. bacteria are found in living and non-living things. Elizabethkingia meningoseptica (E. meningoseptica) and Elizabethkingia anophelis (E. anophelis) are the leading species that can cause diseases in humans. Most of the infections (80- 87.5%) caused by E. anophelis are hospital-acquired. This bacterium is generally identified as E. meningoseptica by automated systems. In this study, a case of bacteremia due to E. anophelis in a hemodialysis patient is presented. This patient is a 72 years old female who is hospitalized in the intensive care unit. She was referred to the Near East University Hospital from the state hospital with pneumonia. E. anophelis was isolated from the patient's blood culture by the VITEK-2 automated system. The isolated bacteria were stored at -80 [degrees]C and detected as E. anophelis by matrix-assisted laser desorption ionization time of flight. Success was achieved by adding levofloxacin to the ongoing meropenem treatment in our patient. Although the transmission route of our case with multidrug resistance is not exactly known, it is assumed that the transmission originated from the hospital. In this regard, increasing control measures in hospitals, mainly in water systems, will prevent such infections and deaths. In addition, it is concluded that for treating infections caused by Elizabethkingia, the use of fluoroquinolones should be the first choice. Keywords: Elizabethkingia anophelis, bacteremia, hemodialysis, rare, North Cyprus