Comamonas testosteroni bacteraemia in a tertiary care hospital

The 20th Comamonas Testosteroni Bacteremia Case in the Literature from Turkey: Mortal and Polymicrobial A Case Report and Literature Review

“…The patients of Swain [12] , Barbaro [9] , and Nseir [13] died, despite polyantibiotic therapy, which were the same as our case. We suggest that mortality was associated with underlying malignancy and a polymicrobial condition.…”

“…treatments were initiated. During the treatments, the patient had subfebril fever, increased infection Atkinson [4] 31/F Blood None No Kanamycin tetracycline Cured Smith [7] 89/M Blood Environmental exposure No levofloxacin Cured Le Moal [14] 75/F Blood CVC breast cancer No Ceftazidime gentamicin Cured Cooper [15] 49/M Blood Infective endocarditis No Cefepime, gentamicin Cured then ampicillin Abraham [16] 54/F Blood Esophageal cancer No Cefepime then ciprofloxacin Cured with metastases to lung Chemotherapy, CVC Orsini [8] 80/F Blood Morbidly obese, Staphylococcus aureus Ceftriaxone then nafcillin Cured diabetes mellitus then cefazolin doripenem Barbaro [9] 4/M Blood None reported None reported None reported Cured Barbaro [9] 28/M Blood None reported None reported None reported Cured Barbaro [9] Newborn/F Blood Prematurity a-Hemolytic Streptococcus Ampicillin amikacin Died Gül [6] 22/M Blood Perforated appendicitis None reported cefazolin Cured Nseir [13] 64/F Blood diabetes mellitus, No Vancomycin rocephin Died end-stage kidney disease then ciprofloxacin gentamycin Tsui [10] 54/M Blood Cellulite No Oxacillin then ciprofloxacin Cured Tsui [10] 73/M Blood Hepatocellular carcinoma Acinetobacter baumannii Cefmetazon gentamicin Cured then levofloxacin Farshad [17] 10/M Blood Medulloblastoma No Ciprofloxacin amikacin Cured Farshad [17] 19/F Blood Osteosarcoma No Vancomycin imipenem Cured ciprofloxacin Swain [12] 50/F Blood Chronic renal disease, No Piperacillin-tazobactam then Died gluteal abscess cefoperazone-sulbactam Opota [11] 33/M Blood Chronic hepatitis C, Streptococcus parasanguis, Cefepime vancomycinthen Not chronic alcoholism, Ralstonia pickettii moxifloxacin reported drugaddiction Katırcıoğlu [18] 83/M Blood Old age, SVD No Piperacillin-tazobactam, Cured amikacin Pekintürk [19] parameters, and increased radiological consolidation; C. testosteroni was detected in the first blood cultures during admission. According to an antibiogram, C. testosteroni was resistant to piperacillin-tazobactam, imipenem, meropenem, and gentamycin and susceptible to colistin, levofloxacin, tigecycline, and cefepime.…”

Bacteriemia por Comamonas kerstersii en un joven con apendicitis aguda

“…Se han reportado numerosos aislamientos asociados a infecciones intraabdominales [5][6][7][8][9][10] . Asimismo, los casos publicados incluyen endocarditis, meningitis y bacteriemia [11][12][13][14][15][16] . En varios de estos casos no se especifica con cuales pruebas o sistemas comerciales se logró la identificación 6,8,13,15 .…”

“…En varios de estos casos no se especifica con cuales pruebas o sistemas comerciales se logró la identificación 6,8,13,15 . En otros, se utilizan diferentes métodos tales como el sistema comercial Vitek 2 compact 5,10,12,14 , el sistema comercial Phoenix 7,9 y/o galerías API NE 7,11,16 . En nuestro caso se utilizó la tarjeta GN [18][19][20][21][22][23] .…”

“…Esta especie no esta incluída en la base de datos de diferentes sistemas comerciales de identificación fenotípica 22 . Por tanto, es posible que algunos de los reportes existentes de C. testosteroni [5][6][7][8][9][10][11][12][13][14][15][16] pudieran haber correspondido a C. kerstersii, especialmente los correspondientes a infecciones intraabdominales.…”