Bacteremia and Endocarditis Caused by a <i>Gordonia</i> Species in a Patient with a Central Venous Catheter

Lesens, Olivier; Hansmann, Yves; Riegel, Philippe; Heller, R.; Benaissa-Djellouli, M; Martinot, M.; Petit, H; Christmann, D.

doi:10.3201/eid0604.000410

Cited by 55 publications

(49 citation statements)

References 14 publications

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“…To date, there has been only one other documented case of endocarditis caused by a Gordonia species (12). As in our case, the patient had multiple medical problems that required the placement of a subcutaneous CVC.…”

mentioning

confidence: 79%

Native Valve Endocarditis Due to Gordonia polyisoprenivorans : Case Report and Review of Literature of Bloodstream Infections Caused by Gordonia Species

et al. 2006

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mentioning

confidence: 79%

Native Valve Endocarditis Due to Gordonia polyisoprenivorans : Case Report and Review of Literature of Bloodstream Infections Caused by Gordonia Species

et al. 2006

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“…are found in the environment and likely to be of low pathogenicity, but better knowledge of these organisms could lead to more frequent recognition as pathogens in a wider range of human diseases. At this time, only eight of these species, including G. terrae, have been occasionally described as human pathogens, mainly in immunocompromised patients or as health care-associated pathogens (3,6,7,(9)(10)(11)(12). It is, however, still necessary to report additional cases, especially when the infection occurs in an immunocompetent patient and the bacterium is unexpected.…”

Section: Gordonia Terrae: a Difficult-to-diagnose Emerging Pathogen?mentioning

confidence: 99%

Gordonia terrae : a Difficult-To-Diagnose Emerging Pathogen?

et al. 2007

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“…To the best of our knowledge, there are only 16 corresponding cases reported in the literature as of 8 May 2008 (Table 1). Most cases were in patients that were either immunocompromised or receiving total parenteral nutrition (2,5,6,8,9,11,14). Nine of the 16 cases resolved after removal of the infected device and antibiotic treatment, resulting in the successful recovery of all these patients.…”

Section: Case Reportmentioning

confidence: 99%

Gordonia araii Infection Associated with an Orthopedic Device and Review of the Literature on Medical Device-Associated Gordonia Infections

et al. 2009

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Gordonia infections in humans are rare and usually affect immunocompromised patients. We present the first case of Gordonia araii infection associated with a medical device in an immunocompetent patient. Sequencing was required for conclusive identification. We compared our case to the 16 Gordonia speciesassociated medical device infections reported to date. CASE REPORTA healthy 27-year-old male presented to the Surgical Unit at the Wright-Patterson Medical Center following a sports-related injury of the right anterior cruciate ligament (ACL) and a right medial meniscus tear. Orthopedic surgery attached a hamstring tendon autograft by using an ACL femoral fixation implant (Scandius), a bioabsorbable tapered screw, and a tibial sheath (Mitek Surgical). A vacuum-assisted closure device was placed in the wound for 4 weeks.Six weeks following the surgery, the patient complained of fever, knee pain, and knee swelling and received incision and drainage at the surgical site. Routine bacterial cultures on brain heart infusion agar with 5% sheep blood were negative. A vacuum-assisted closure device was again placed for 4 weeks following this procedure.He presented again, 10 weeks after the initial surgery, complaining of redness and swelling of the right knee, and was noted to have wound dehiscence at the surgical site. He received another incision and drainage. Routine bacterial cultures on brain heart infusion agar with 5% sheep blood were again negative.He presented a fourth time, 21 weeks after the initial repair, with discharge from two sinus tracts which exited near the surgical site. A magnetic resonance imaging study revealed an effusion, an intact ACL graft, and edema in both the tibia and the femur at the graft attachment site. He denied symptoms at any other site, and his peripheral white blood cell count was normal. He was taken to surgery, where the right knee was incised and drained. All foreign materials, including the bioabsorbable implant, were removed and sent for culture. Following surgery, the patient was placed on intravenous levofloxacin (500 mg daily) and intravenous vancomycin (1 g twice daily).On the basis of antimicrobial testing results obtained from the National Jewish Medical and Research Center (NJMRC), on day 16 of the fourth presentation, the patient was switched to intravenous trimethoprim-sulfamethoxazole (TMP-SMX; 175 mg to 875 mg) twice daily to complete a 31-day course of antibiotic treatment. The patient had a full recovery from both the infection and the knee surgery. Follow-up a year later and an inquiry 3 years later indicated no further problems.Laboratory analysis of joint fluid revealed a total white blood cell count of 4,750/mm 3 , with a differential of 36% segmented neutrophils, 53% lymphocytes, and 11% monocytes.Three days after the samples were cultured, light growth of gram-positive bacilli was noted to occur on a brain heart infusion agar plate with 5% sheep blood, from the bio-absorbable screw. After 11 days of incubation, heavy growth of grampositive bacilli was noted ...

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Bacteremia and Endocarditis Caused by a Gordonia Species in a Patient with a Central Venous Catheter

Cited by 55 publications

References 14 publications

Native Valve Endocarditis Due to Gordonia polyisoprenivorans : Case Report and Review of Literature of Bloodstream Infections Caused by Gordonia Species

Native Valve Endocarditis Due to Gordonia polyisoprenivorans : Case Report and Review of Literature of Bloodstream Infections Caused by Gordonia Species

Gordonia terrae : a Difficult-To-Diagnose Emerging Pathogen?

Gordonia araii Infection Associated with an Orthopedic Device and Review of the Literature on Medical Device-Associated Gordonia Infections

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