A Case of thoracic ampiyemia secondary to Serratia rubidaea

Yıl 2017, Cilt: 3 Sayı: 2, 31 - 35, 28.08.2017

Emel Uzunoğlu Ahmet Melih Sahin Ali Celik Alptekin Tosun

https://doi.org/10.19127/mbsjohs.332727

Öz

Serratia
rubidaea is an oportunistic pathogen which is a member of unusual Serratia
species.  This is the the first thoracic
empyema case report caused by S. rubidaea
which is isolated from the pleural fluid of an immunocompetent patient. There
is no concensus about the natural habitat of S. rubidaea and the infection was community-based in our case. Here
we discussed both the identification and the antibiyogram susceptibility of S.
rubideae which needs a special attention hence some common commercial
identification systems are lack of carbon utilisation tests. Overlooked
laboratory diagnosis and ampric antibiotic treatment may cause life treating
infections due to naturally occurring Amp C β-lactamases of unusual Serratia
rubideae. Therefore, further studies are needed to identify both the clinical
presentation and source of the agent.

Anahtar Kelimeler

Serratia rubideae, pleural effusion, thoracic ampitema, Serratia spp.

Kaynakça

• Bonnin RA, Girlich D, Imanci D, Dortet L, Naas T. Draft Genome Sequence of the Serratia rubidaea CIP 103234T Reference Strain, a Human-Opportunistic Pathogen. Genome Announc. 2015 ;3: pii: e01340-15. doi: 10.1128/genomeA.01340-15.
• Farmer III JJ, Davis BR, Hickman-Brenner FW et al. Biochemical identification of new species and biogroups of Enterobacteriaceae isolated from clinical specimens. J Clin Microbiol. 1985;21:46-76.
• Gentille D, Pérez M, Centelles MJ. Bacteremia by a Serratia rubidaea with an atypical quinolones resistance phenotype. Rev Chilena Infectol. 2014;31:351-2.
• Litterio ML, Arazi S, Hernández C, Lopardo H. Isolation of Serratia rubidaea from a mixed infection after a horse bite. Rev Argent Microbiol. 2012;44:272-4.
• Menezes EA, Cezafar FC, Andrade Mdo S, Rocha MV, Cunha FA. Frequency of Serratia sp in urine infections of intern patients in the Santa Casa de Misericórdia in Fortaleza. Rev Soc Bras Med Trop. 2004;37:701. Procop G.W, Church D.L, Hall G.S, Janda W.W, Koneman E.W, Schreckenberger P.C.h Koneman's Color Atlas and Textbook of Diagnostic Microbiology. Netherlands : Walters Kluwer Health, 2016.
• Rojo Ursua p, Unzaga MJ, Melero P, Iturburu I, Ezpeleta C, Cisterna R. Serratia rubidaea as an invasive pathogen. J Clin Microbiol 1996; 34: 216-7.
• Stock I, Burak S, Sherwood KJ, Gruger T, Wiedemann B. Natural antimicrobial susceptibilities of strains of 'unusual' Serratia species: S. ficaria, S. fonticola, S. odorifera, S. plymuthica and S. rubidaea. J Antimicrob Chemother. 2003;51:865-85.
• The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 7.0, 2017.Available in: http://www.eucast.org.