Pacemaker-induced endocarditis by Gordonia bronchialis

Bayo, Saray Mormeneo; Ruíz, María Pilar Palacián; Samper, Uxua Asìn; Lou, María Isabel Millán; Catalán, Ascensión Pascual; Usón, María Cruz Villuendas

doi:10.1016/j.eimc.2020.11.010

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…14 A patient with pacemaker-induced endocarditis by Gordonia bronchialis was sensitive to multiple antibiotics (amoxicillin-clavulanate, ceftriaxone, ciprofloxacin, imipenem, tobramycin, amikacin, linezolid and trimethoprimsulfamethoxazole). 28 According to the literature reported, G. terrea was susceptible to penicillin, ampicillin, amikacin, erythromycin, ceftriaxone, imipenem, gentamicin and vancomycin using the E-test method, while ceftazidime showed resistance. 19 A literature integrated five Gordonia -infected cases, of which four cases chose vancomycin, cephalosporins or a combination as empirical treatment program.…”

Section: Discussionmentioning

confidence: 99%

“…After gram-positive coccobacillus found, considering the history of chronic kidney disease and the relief of peritonitis symptoms, the physician preferred to use ceftazidime continuously. Gordonia -infected patients usually has a better prognosis through the combination of primary disease treatment and antibiotic use, 28,31 and even no antibiotic treatment. 32 Therefore, more experience in antimicrobial therapy should be gradually accumulated to provide more precise and individualized treatment strategies.…”

Section: Discussionmentioning

confidence: 99%

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A Patient of Spontaneous Bacterial Peritonitis in Hepatitis C Cirrhosis Caused by Gordonia terrae: A Case Report

Zheng,

Liu,

Bai

et al. 2024

IDR

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Background Gordonia terrae is an opportunistic pathogen that rarely causes clinical infections. Here, we first report a case of spontaneous bacterial peritonitis in patients with hepatitis C cirrhosis caused by Gordonia terrea . Case Presentation A 71-year-old male patient was diagnosed with spontaneous bacteria peritonitis secondary to hepatitis C cirrhosis. The result of bacterial culture in ascites was positive, and the pathogenic bacteria was preliminarily identified as the Gordonia genus by matrix-assisted laser desorption ionization–time of flight mass spectrometry. After 16S rRNA sequencing analysis, it was determined to be the Gordonia terrea . Symptoms relieved after treatment with ceftazidime. Conclusion This case indicates that the clinical infections caused by Gordonia terrea should be brought to the forefront. Accurate and rapid bacterial identification results are highly beneficial to the diagnosis and therapeutic regime.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Patient of Spontaneous Bacterial Peritonitis in Hepatitis C Cirrhosis Caused by Gordonia terrae: A Case Report

Zheng,

Liu,

Bai

et al. 2024

IDR

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“…Systemic infections were diagnosed mainly in patients with an underlying malignant disease, other immunocompromised conditions and chronic diseases like diabetes mellitus, cardiovascular diseases, autoimmune diseases, and sequestrated lung diagnosis [ 10 , 11 , 12 ]. Bacteremia, the most severe and emerging involvement, was contributed by a central venous catheter and other indwelling medical devices like peritoneal dialysis catheter or heart pacemaker [ 13 , 14 , 15 , 16 , 17 ]. The possible mechanism of such severe complication is the bacteria’s ability to form the biofilm by producing gordonan, an acidic polysaccharide inducing the cell aggregation, and adhesive properties to the hydrophobic surfaces, like catheters or other medical indwelling devices [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

From NTM (Nontuberculous mycobacterium) to Gordonia bronchialis—A Diagnostic Challenge in the COPD Patient

Franczuk¹,

Klatt²,

Filipczak³

et al. 2022

Diagnostics

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In patients with chronic obstructive pulmonary disease, respiratory infections are of various aetiology, predominantly viral and bacterial. However, due to structural and immunological changes within the respiratory system, such patients are also prone to mycobacterial and other relatively rare infections. We present the 70-year old male patient with chronic obstructive pulmonary disease (COPD) and coexisting bronchial asthma, diagnosed due to cough with purulent sputum expectoration lasting over three months. The first microbiological investigation of the sputum sample revealed the growth of mycobacteria. The identification test based on protein MPT64 production indicated an organism belonging to NTM (nontuberculous mycobacterium). However, further species identification by genetic testing verified the obtained culture as not belonging to the Mycobacterium genus. Based on observed morphology, the new characterisation identified an aerobic actinomycete, possibly a Nocardia spp. The isolated strain was recultured on standard microbiological media. The growth of colonies was observed on Columbia blood agar plates and solid Löewenstein-Jensen medium. The Gram and Zhiel-Nielsen stains revealed the presence of Gram-positive acid-fast bacilli. The extraction protocol and identification were performed in two repetitions; the result was G. bronchialis, with a confidence value of 99% and 95%, respectively. The gene sequencing method was applied to confirm the species affiliation of this isolate. The resulting sequence was checked against the 16S ribosomal RNA sequences database (Bacteria and Archaea). The ten best results indicated the genus Gordonia (99.04–100%) and 100% similarity of the 16S sequenced region was demonstrated for Gordonia bronchialis. The case described indicates that the correct interpretation of microbiological test results requires the use of advanced microbiology diagnosis techniques, including molecular identification of gene sequences. From a clinical point of view, Gordonia bronchialis infection or colonization may present a mild course, with no febrile episodes and no significant patient status deterioration and thus, it may remain undiagnosed more often than expected.

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“…17,18 Other case reports of G. bronchialis have an average onset to infection of 2-3 months. 19,20 When no prosthesis is present and a patient presents with continued surgical site infections, it is imperative that the surgeon examine further patient factors and other external factors. While ensuring that the patient is immunocompetent, it is also critical to begin exploring less common causes of infection including rare fastidious organisms.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Skin and Soft Tissue Infection following Breast Reduction Surgery Caused by Gordonia bronchialis: A Case Report

Davidson

Driscoll

Luther

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: The expanding knowledge of the breast microbiome and its constituents necessitates understanding of how it plays into human disease. Consideration of how to identify novel organisms in breast tissue is a topic of hot debate. We report a case of a 26-year-old woman with repeat incisional break-down and sanguinopurulent drainage who required repeat incision and drainage procedures after bilateral breast reduction. Cultures revealed no growth until 4 months postoperation when matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) revealed Gordonia bronchialis, a fastidious, slow-growing organism. To date, there are fewer than 30 reported cases of G. bronchialis infections and only one with breast involvement. Our patient required 6 weeks of amoxicillin-clavulanate therapy and frequent follow-up for symptom resolution. This case demonstrates the need for additional microbiologic data in patients with delayed, persistent infections after breast surgery.

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Pacemaker-induced endocarditis by Gordonia bronchialis

Cited by 10 publications

References 19 publications

A Patient of Spontaneous Bacterial Peritonitis in Hepatitis C Cirrhosis Caused by Gordonia terrae: A Case Report

A Patient of Spontaneous Bacterial Peritonitis in Hepatitis C Cirrhosis Caused by Gordonia terrae: A Case Report

From NTM (Nontuberculous mycobacterium) to Gordonia bronchialis—A Diagnostic Challenge in the COPD Patient

Recurrent Skin and Soft Tissue Infection following Breast Reduction Surgery Caused by Gordonia bronchialis: A Case Report

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