Typically this pathogen has been described as a cause of infection in tropical or subtropical climates, more often during summer, in ICU patients or in long term residents at health care facilities. Ventilator-depended patients are at greater risk but other factors such as recent surgery, central vascular lines, tracheotomy, enteral feeding and treatment with new generation antibiotics, like thirdgeneration cephalosporins, fluoroquinolones or carbapenems, may contribute as well. The majority of affected patients have underlying comorbidities mainly chronic obstructive pulmonary disease, renal disease, diabetes mellitus, alcoholism and heavy smoking [1, 3, 4] .