Disseminated pyomyositis due to <i>Burkholderia cepacia:</i> A case report

Saran, Sai; Singh, Vijay; Panda, Shasanka Shekhar; Gurjar, Mohan; Pani, K. C.; Borde, Kalyani; Azim, Afzal

doi:10.4103/ijccm.ijccm_141_18

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Symptoms will depend on several variables and may be asymptomatic or present with fever, leukocytosis, pulmonary infiltrates, respiratory distress, and sepsis, predominantly in patients who are immunocompromised (cystic fibrosis, chronic granulomatous disease, and diabetes mellitus), and less frequently in people immunocompetent. 13 These clinical manifestations occurred in the case series, highlighting sepsis followed by other complications such as urinary tract infections, pneumonia, and soft tissue infection.…”

Section: Discussionmentioning

confidence: 93%

The conductive gel for hospital use as a culture medium for the genus Burkholderia

Holguin Barrera

2023

JLPRR

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The Burkholderia genus is a group of gram-negative bacteria that inhabit soil, water, plant and animal tissues; within this genus are B. pseudomallei, B. cepacia, and B. contaminants, which can cause multiple infections. The objective is to describe a prospective series and study whether the use of hospital gel contributed to the development of infection in patients. Methods: Descriptive and prospective study of the series with positive cultures for the genus Burkholderia from 2019 to 2023 in a hospital in Colombia. Results: 27 cases with isolation of Burkholderia, 74.07% Burkholderia cepacea and 25.93% Burkholderia pseudomallei, 68.85% male and 31.15% female, 78.57% from urban areas and 21 43% rural, 62.96% had a history of chronic diseases. The mean hours of culture positivity was 40.64 hours (SD ± 23.19), 14.81% presented pneumonia, 7.40% soft tissue infections, 55.55% sepsis and 22.24 % others, the mean hospital stay was 7.92 days, 100% underwent diagnostic procedures using hospital gel, B. Cepacea and B. pseudomallei growth was obtained in the gel and identification by molecular tests reported Burkholderia contaminants, the mortality of this study was 22.22%. Conclusion: The random culture carried out on the gel in different areas of the hospital obtained growth of Burkholderia, for which procedures and possible solutions are reconsidered to avoid the growth of this germ in this medium and the diagnostic strengthening in the laboratory. 81% presented pneumonia, 7.40% soft tissue infections, 55.55% sepsis and 22.24% others, the mean hospital stay was 7.92 days, 100% underwent diagnostic procedures with the use of gel hospital, B. Cepacea and B. pseudomallei growth was obtained in the gel and the identification by molecular tests reported Burkholderia contaminants, the mortality of this study was 22.22%.

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Section: Discussionmentioning

confidence: 93%

The conductive gel for hospital use as a culture medium for the genus Burkholderia

Holguin Barrera

2023

JLPRR

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“…[3] The clinical presentation of the infection during epidemics is variable, causing mainly bacteraemia and "Cepacia Syndrome"-bacteraemia with rapid deterioration of lung function. [2][3][4][5][6][7][8][9][10][11][12][13] It can also cause pneumonia [14,15], VAP [16,17], endophthalmitis [18,19], UTI [20,21], prostatitis [22], arthritis [23], spondylodiscitis [24], meningitis [25], endocarditis [26], pyomyositis [27] and peritonitis. [28] The B. Cepacia Complex infections especially affect the fragile and immunocompromised hospitalized population.…”

Section: Introductionmentioning

confidence: 99%

Management of an Epidemic Outbreak of Burkholderia Cepacia in A Hospital in The North of Italy

Bovolenta,

Zanon,

Mondino

et al. 2023

JFN

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Background: Burkholderia Cepacia(B. Cepacia) is a gram-negative bacterium responsible both for colonization and for awide range of infections and clinical complications that significantly increasemorbidity and mortality. B. Cepacia is able to survive and replicate into antiseptic solutionsand invasive medicaldevices, thus representing potential reservoirs for hospital infections. Aim: Between April and August 2019 in the north of Italy, in two hospitals belonging to the same social healthdistrict (AULSS 8 Berica- West District), five cases of B. Cepaciasepsis were reported. This paper describes the epidemiological and microbiological investigation of the causalpathogen, the controlmeasures adopted to contain the epidemic and the results obtained. Methods: The Infection Control Committee (ICC) assessed relevant demographic characteristics and potential riskfactors of infected patients and collected environmental and equipment samples. Phenotypic and genotypic identification was carried out using microbiological methods of culture and MALDI-TOF technique. Findings: The B. Cepaciasepsis involved four oncological patientsand one cardiological patient who underwent aninvasive procedure under ultrasound guidance from April to August 2019 at one of the hospitals involved. The analyses highlighted the positivity for B. Cepacia in the ultrasound gel used for the eco-guidedprocedures. All samples were found to be sensitive to Meropenem. Conclusion: The infection controlmeasures put into effect permittedan effective management of the outbreakandhelped to reducethe risk of subsequent cases. The outbreak has revealed the need to draw up internal operating procedures that regulate punctually the grafting of invasive devices.

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Diabetic foot infection caused by bacteria of the Burkholderia cepacia complex: report of an unusual case and a scoping literature review

Leme

Chaves

Gonçalves

et al. 2022

Rev. Inst. Med. trop. S. Paulo

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Burkholderia cepacia complex (BCC) is group of widespread gram-negative bacillus organized in over 20 phylogenetically distinct bacterial species. According to previous studies, BCC species pathogens are widely reported in patients with cystic fibrosis (CF), but not in individuals with diabetes mellitus (DM). In this case report, a 42-year-old male patient with DM and a foot infection caused by BCC is presented. The patient was hospitalized after antibiotic treatment failure and improved after two surgical debridement procedures and a high-dose extended infusion (EI) of meropenem. The team of vascular surgeons and the infectious disease specialists worked fervently to solve the case. Finally, a scoping review was conducted to map BCC infections in patients with DM.

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Disseminated pyomyositis due to Burkholderia cepacia: A case report

Cited by 3 publications

References 9 publications

The conductive gel for hospital use as a culture medium for the genus Burkholderia

The conductive gel for hospital use as a culture medium for the genus Burkholderia

Management of an Epidemic Outbreak of Burkholderia Cepacia in A Hospital in The North of Italy

Diabetic foot infection caused by bacteria of the Burkholderia cepacia complex: report of an unusual case and a scoping literature review

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