Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review

Roseomonas species is rarely found to be pathogenic to humans and there are few clinical cases that have been described in the literature. We report a case of Roseomonas mucosa bacteremia that involved a 9-year-old Japanese boy who was in a condition of febrile neutropenia caused by chemotherapy for...

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Main Authors: Keigo Kimura, Hideharu Hagiya, Isao Nishi, Hisao Yoshida, Kazunori Tomono
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250918301550
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author Keigo Kimura
Hideharu Hagiya
Isao Nishi
Hisao Yoshida
Kazunori Tomono
author_facet Keigo Kimura
Hideharu Hagiya
Isao Nishi
Hisao Yoshida
Kazunori Tomono
author_sort Keigo Kimura
collection DOAJ
description Roseomonas species is rarely found to be pathogenic to humans and there are few clinical cases that have been described in the literature. We report a case of Roseomonas mucosa bacteremia that involved a 9-year-old Japanese boy who was in a condition of febrile neutropenia caused by chemotherapy for cerebellar medulloblastoma. Conventional phenotyping failed to identify the organism; however, genetic analysis using 16S rDNA sequencing confirmed the pathogen to be R. mucosa. The patient recovered following treatment by meropenem without any complications. A literature review of pediatric cases of Roseomonas bacteremia identified 12 other documented cases, and these revealed that a common clinical situation for the infection is an immunocompromised state with malignancy and/or an indwelling intravenous catheter. Because of the low number of cases, the overall picture of Roseomonas bacteremia in children remains to be elucidated; however, the prognosis of the infection appears to be satisfactory. Keywords: Bloodstream infection, Febrile neutropenia, Roseomonas mucosa
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spelling doaj.art-416c1576e33e4ef5a3a47bb4efa3e9392022-12-21T22:01:08ZengElsevierIDCases2214-25092018-01-0114Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature reviewKeigo Kimura0Hideharu Hagiya1Isao Nishi2Hisao Yoshida3Kazunori Tomono4Laboratory for Clinical Investigation, Osaka University Hospital, JapanDivision of Infection Control and Prevention, Osaka University Hospital, Japan; Corresponding author: Division of Infection Control and Prevention, Osaka University Hospital, 2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan.Laboratory for Clinical Investigation, Osaka University Hospital, JapanDivision of Infection Control and Prevention, Osaka University Hospital, Japan; Department of Pediatrics, Osaka University Hospital, JapanDivision of Infection Control and Prevention, Osaka University Hospital, JapanRoseomonas species is rarely found to be pathogenic to humans and there are few clinical cases that have been described in the literature. We report a case of Roseomonas mucosa bacteremia that involved a 9-year-old Japanese boy who was in a condition of febrile neutropenia caused by chemotherapy for cerebellar medulloblastoma. Conventional phenotyping failed to identify the organism; however, genetic analysis using 16S rDNA sequencing confirmed the pathogen to be R. mucosa. The patient recovered following treatment by meropenem without any complications. A literature review of pediatric cases of Roseomonas bacteremia identified 12 other documented cases, and these revealed that a common clinical situation for the infection is an immunocompromised state with malignancy and/or an indwelling intravenous catheter. Because of the low number of cases, the overall picture of Roseomonas bacteremia in children remains to be elucidated; however, the prognosis of the infection appears to be satisfactory. Keywords: Bloodstream infection, Febrile neutropenia, Roseomonas mucosahttp://www.sciencedirect.com/science/article/pii/S2214250918301550
spellingShingle Keigo Kimura
Hideharu Hagiya
Isao Nishi
Hisao Yoshida
Kazunori Tomono
Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review
IDCases
title Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review
title_full Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review
title_fullStr Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review
title_full_unstemmed Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review
title_short Roseomonas mucosa bacteremia in a neutropenic child: A case report and literature review
title_sort roseomonas mucosa bacteremia in a neutropenic child a case report and literature review
url http://www.sciencedirect.com/science/article/pii/S2214250918301550
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