Emerging Threat: A case of Elizabethkingia anophelis bloodstream infection with concurrent cellulitis and ascites

Articles in Press

Document Type : Short Reports (case reports)

Authors

1 Department of Microbiology, Aarupadai Veedu Medical College and Hospital, Vinayaka Mission’s Research Foundation ( DU),Puducherry, India

2 Department of Microbiology, Aarupadai Veedu Medical College and Hospital, Vinayaka Mission’s Research Foundation ( DU), Puducherry, India

3 Department of Microbiology, Aarupadai Veedu Medical College & Hospital, Vinayaka Mission’s Research Foundation (DU), Puducherry, india

Abstract

Background: Elizabethkingia anophelis , gram-negative bacterium which was previously classified under the genus Flavobacterium, are now considered as an emerging pathogens in recent era. There are various reports of outbreaks of serious infections, such as bacteremia, pneumonia, and central nervous system infections particularly in hospitals and health-care facilities around the world. It is usually cause infections among immunocompromised patients with high mortality reported and less frequently in healthy people. We report a case of 48-year-old man, known chronic alcoholic and diagnosed to have decompensated liver disease (DCLD) and chronic kidney disease (CKD) presented with fever, abdominal distention, bilateral knee swelling with pain and pus discharge for past 7 days. Elizabethkingia anophelis was isolated simultaneously from blood, ascitic fluid and aspirated pus from knee swelling. As Elizabethkingia bacteremia, is associated with significant morbidity and mortality, it’s isolation should be considered clinically significant and treated with appropriate antibiotic therapy, as these bacteria can shows resistance to multiple drugs.

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Microbes and Infectious Diseases

Articles in Press, Accepted Manuscript
Available Online from 20 January 2025

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