Community-Acquired Fatal Pneumonia and Sepsis by Chryseobacterium Meningosepticum in a Previously Healthy Infant: A Case Report

Year 2016, Volume: 30 Issue: 2, 99 - 102, 21.10.2016

Aysel Taktak , Yılmaz Akbaş Murat Çapanoğlu Gönül Tanır Nilgün Erkek

Abstract

Chryseobacterium meningosepticum is a gram negative bacillus which is a nosocomial infectious cause in neonatal intensive care units and immunosuppressive patients. In the literature there are some phenomenal case reports of nosocomial bacteremia/sepsis, pneumonia, meningitis, endocarditis, skin/soft tissue infections, intra abdominal abscesses, peritonitis and endophthalmitis especially in adults. Here we present a previously healthy child with community-acquired fatal pneumonia and septic shock due to Chryseobacterium meningosepticum.

Keywords

Child, Chryseobacterium meningosepticum, pneumonia, sepsis

Daha Önce Sağlıklı Olan Bebek Hastada Toplum Kaynaklı Chryseobacterium Meningosepticum İlişkili Fatal Pnömoni ve Sepsis: Olgu Sunumu

Abstract

Gram negatif bir basil olan Chryseobacterium meningosepticum, yenidoğan
yoğun bakım ünitelerinde ve sıklıkla immun sistemi baskılanmış kişilerde hastane kaynaklı bir enfeksiyon etkeni olarak tanımlanmıştır. Literatürde Chryseobacterium meningosepticum’un etken olduğu hemen hepsi hastane kaynaklı,
çoğu erişkin, bakteriyemi/sepsis, pnömoni, menenjit, endokardit, cilt ve yumuşak doku enfeksiyonları, intra-abdominal abse, peritonit, endoftalmit tanısı almış az sayıda
olgu bildirilmiştir. Burada ilk kez, sağlıklı bir bebek hastada toplum kaynaklı Chryseobacterium meningosepticuma bağlı gelişen fatal seyirli pnömoni ve septik şok
tablosu sunuldu.

Keywords

Chryseobacterium meningosepticum, çocuk, pnömoni, sepsis

References

• Referans1 Kirby JT, Sader HS, Walsh TR, Jones RN. Antimicrobial susceptibility and epidemiology of a worldwide collection of Chryseobacterium spp: report from the SENTRY Antimicrobial Surveillance Program (1997-2001). J Clin Microbiol 2004;42:445-448.
• Referans2 Lee CH, Lin WC, Chia JH. Et al. Community-acquired osteomyelitis caused by Chryseobacterium meningosepticum: case report and literature review. Diag Microbiol Infect Dis 2008;60:89-93. Referans3 Ching-Chi Lee, Po-Lin Chen, Li-Rong Wang. Et al. Fatal Case of Community-Acquired Bacteremia and Necrotizing Fasciitis Caused by Chryseobacterium meningosepticum: Case Report and Review of the Literature. J Clin Microbiol 2006;44:1181–1183.
• Referans4 Ceyhan M, Yildirim I, Tekeli A. Et al. A Chryseobacterium meningosepticum outbreak observed in 3 clusters involving both neonatal and non-neonatal pediatric patients. Am J Infect Control 2008;36:453-457.
• Referans5 Adeyemi AI, Sulaiman AA, Solomon BB, Chinedu OA, Victor IA. Bacterial bloodstream infections in HIV-infected adults attending a Lagos teaching hospital. J Health Popul Nutr 2010;28:318-326.
• Referans6 Lin PY, Chen HL, Huang CT, Su LH, Chiu CH. Biofilm production, use of intravascular indwelling catheters and inappropriate antimicrobial therapy as predictors of fatality in Chryseobacterium meningosepticum bacteraemia. Int J Antimicrob Agents 2010;36:436-440.
• Referans7 Bloch KC, Nadarajah R, Jacobs R. Chryseobacterium meningosepticum: an emerging pathogen among immunocompromised adults. Report of 6 cases and literature review. Medicine (Baltimore) 1997;76:30-41.
• Referans8 Sztajnbok J, Troster EJ. Community-acquired Chryseobacterium meningosepticum pneumonia and sepsis in a previously healthy child. J Infect. 1998;37:310-312.
• Referans9 Tam AY, Yung RW, Fu KH. Fatal pneumonia caused by Flavobacterium meningosepticum. Pediatr Infect Dis J 1989;8:252-254.
• Referans10 Hung PP, Lin YH, Lin CF, Liu MF, Shi ZY. Chryseobacterium meningosepticum infection: antibiotic susceptibility and risk factors for mortality. J Microbiol Immunol Infect 2008;41:137-144.