Trakeal Aspirat Örneğinden İzole Edilen Nadir Bir Etken: Elizabethkingia Meningoseptica

İsmail Davarcı; Mücahide Esra Koçoğlu; Muhterem Duyu; Melike Orkide Taşçılar

doi:10.21673/anadoluklin.378127

Case Report

A Rare Pathogen Isolated from Tracheal Aspirate Culture: Elizabethkingia Meningoseptica

Year 2018, , 97 - 101, 20.05.2018

İsmail Davarcı , Mücahide Esra Koçoğlu , Muhterem Duyu Melike Orkide Taşçılar

https://doi.org/10.21673/anadoluklin.378127

Abstract

In this paper, we report our isolation of Elizabethkingia meningoseptica as a rare pathogen from the tracheal aspirate culture of a pediatric patient diagnosed with biliary atresia type 2 whose general condition had been deteriorating while under follow-up in our intensive care unit. Following the isolation, her condition improved after her treatment was modified in accordance with the related antimicrobial susceptibility test results.

Keywords

Elizabethkingia meningoseptica, mechanical ventilation, tracheal aspirate

References

1. Hsu MS, Liao CH, Huang YT, Liu CY, Yang CJ, Kao KL, Hsueh PR. Clinical features, antimicrobial susceptibilities, and outcomes of Elizabethkingia meningoseptica (Chryseobacterium meningosepticum) bacteremia at a medical center in Taiwan. Eur J Clin Microbiol Infect Dis. 2011;30(10):1271-8.
2. Ceyhan M, Yildirim I, Tekeli A, Yurdakok M, Us E, Altun B, et al. A Chryseobacterium meningosepticum outbreak observed in 3 clusters involving both neonatal and non-neonatal pediatric patients. Am. J. Infect. Control 2008;36(6):453-7.
3. Brooks, GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. (2012), Tıbbi mikrobiyoloji, 26. baskı, syf 251.
4. Güngör S, Özen M, Akinci A, Durmaz R. A Chryseobacterium meningosepticum outbreak in a neonatal ward. Infect Control Hosp Epidemiol 2003;24(8):613-617.
5. Tekeroğlu MS, Durmaz R, Ayan M, Cizmeci Z, Akinci A. Analysis of an outbreak due to Chrysebacterium meningosepticum infections in a neonatal intensive care unit. New Microbiol 2003; 26(1):57-63.
6. Bloch KC, Nadarjah R, Jacobs R. Chryseobacterium meningosepticum: an emerging pathogen among immunocompromised adults. Report of 6 cases and literature review. Medicine (Baltimore) 1997; 76(1):30-41.
7. Weaver KN, Jones RC, Albright R, Thomas Y, Zambrano CH, Costello M, et al. Acute emergence of Elizabethkingia meningoseptica infection among mechanically ventilated patients in a long-term acute care facility. Infect Control Hosp Epidemiol 2010;31(1):54-58.
8. Lambiase A, Del Pezzo M, Raia V, Sepe A, Ferri P, Rossano F. Chryseobacterium respiratory tract infections in patients with cystic fibrosis. J Infect 2007;55(6):518-523.
9. GC, du Moulin. Airway colonization by Flavobacterium in an intensive care unit. J Clin Microbiol 1979;10(2):155-160.
10. Jean SS, Lee WS, Chen FL, Oub TY, Hsueh PR. Elizabethkingia meningoseptica: an important emerging pathogen causing healthcare-associated infections. J Hosp Infect. 2014; 86(4):244-249.
11. Abrahamsen TG, Finne PH, Lingaas E. Flavobacterium meningosepticum infections in a neonatal intensive care unit. Acta Paediatr Scand 1989;78(1):51-55.
12. da Silva PSL, Pereira GH. Elizabethkingia meningoseptica: Emergent bacteria causing pneumonia in a critically ill child. Pediatr Int. 2013;55(2):231-234.
13. Guevara RE, English L, Terashita D. An outbreak of multidrug resistant Elizabethkingia meningoseptica associated with colistin use in a respiratory hospital, Los Angeles County 2006. In: Acute Communicable Disease Control Program Special Studies Report 2006. Los Angeles, CA: Los Angeles County Department of Public Health; 2006:47–51.
14. 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(1):445-448.
15. Ozkalay N, Anil M, Agus N, Helvaci M, Sirti S. Community-acquired meningitis and sepsis caused by Chryseobacterium meningosepticum in a patient diagnosed with thalassemia major. J Clin Microbiol 2006;44(8):3037-3039.