Source: http://jbpml.org.br/detalhes/102/infeccao-por-elizabethkingia-meningoseptica-multirresistente--relato-de-casos
Timestamp: 2019-04-20 18:39:06+00:00

Document:
C. meningosepticum has been related to several clinical syndromes, such as meningitis(7) in a 17-year-old male with history of thalassemia. Dias et al.(1) reported a case of a 37-year-old patient with diabetic nephropathy in hemodialysis who developed bacteremia by C. meningosepticum. This was the first case reported in a dialysis patient from India. This corroborated with our clinical case, since the patient, besides his history of chronic myelogenous leukemia, presented chronic renal failure and undertook hemodialysis.
Although some studies, such as those carried out by Echeverri et al.(2), Krebs et al.(6), and Pereira et al.(9) demonstrated that the antimicrobial trimethoprim-sulfamethoxazole, rifampin, and vancomycin are useful in clinical practice for treating E. meningoseptica infections, they were not tested in this study because they are not part of the standard antibiotics susceptibility cards of the instrument Vitek 2 AST-N239 for Gram negative bacteria.
1. DIAS, M. et al . Chryseobacterium meningosepticum bacteremia in diabetic nephropathy patient on hemodialysis. Indian J Nephrol, v. 20, n. 4, p. 203-4, 2010.
2. ECHEVERRI, L. M.; OSPINA, S. Bacteriemia by Elizabethkingia meningoseptica in acute linfoblastic leukemia patients. Infectio, v. 14, n. 3, p. 227-31, 2010.
3. HAYEK, S. S. et al . Rare Elizabethkingia meningosepticum meningitis case in na immunocompetent adult. Emerg Microbes Infect, v. 2, n. 4, p. 17, 2013.
4. HIRSH, B. E. et al . Flavobacterium meningosepticum bacteremia in an adult with acute leukemia. Use of rifampin to clear persistent infection. Diagn Microbiol Infect Dis, v. 4, p. 65-9, 1986.
5. KIRBY, J. et al . Antimicrobial susceptibility and epidemiology of a worldwide collection ofChryseobacterium spp. Report from the SENTRY Antimicrobial Surveillance Program (1997-2001). J Clin Microbiol, v. 42, p. 445-8, 2004.
6. KREBS, S. et al. Flavobacterium meningosepticum meningitis in an adult with acute leukemia. PostgradMed J, v. 72, n. 845, p. 187-8, 1996.
7. LIN, P. et al. Clinical and microbiological analysis of bloodstream infections caused by Chryseobacterium meningosepticum in nonneonatal patients. J Clin Microbiol, p. 3353-55, 2004.
8. OZKALAY, N. et al. Community-Acquired meningitis and sepsis caused by Chryseobacterium meningosepticum in a patient diagnosed with thalassemia major. J Clin Microbiol, p. 3037-9, 2006.
9. PEREIRA, G. H. et al. Nosocomial infections caused by Elizabethkingia meningoseptica: an emergent pathogen. Bras J Infect Dis, v. 17, n. 5, p. 606-9, 2013.
10. TUON, F. et al. Chryseobacterium meningosepticum as a cause of cellulitis and sepsis in na immunocompetent patient. J Med Microbiol, v. 56, p. 1116-7, 2007.
11. YOON, H. S. Two cases of Chryseobacterium meningosepticum infection in a neonatal intensive care unit. Korean J Pediatr, v. 50, n. 7, 2007.

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