Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature

Background: Chryseobacterium (Flavo.) gleum is a rare organism causing catheter-related bloodstream infections. The organism is primarily found on moist hospital surfaces, like washbasins and dressing trolleys. It has been described as the agent for bacteremia, pneumonia, and skin and soft tissue in...

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Main Authors: Zakaria, Nor Fadhlina, Mohamed Hatta, Siti Nabihah, Wan Zukiman, Wan Zul Haikal Hafiz
Format: Article
Published: Discover STM Publishing 2021
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author Zakaria, Nor Fadhlina
Mohamed Hatta, Siti Nabihah
Wan Zukiman, Wan Zul Haikal Hafiz
author_facet Zakaria, Nor Fadhlina
Mohamed Hatta, Siti Nabihah
Wan Zukiman, Wan Zul Haikal Hafiz
author_sort Zakaria, Nor Fadhlina
collection UPM
description Background: Chryseobacterium (Flavo.) gleum is a rare organism causing catheter-related bloodstream infections. The organism is primarily found on moist hospital surfaces, like washbasins and dressing trolleys. It has been described as the agent for bacteremia, pneumonia, and skin and soft tissue infections in clinical settings. Case Presentation: We report the case of a 60-year-old man with end-stage kidney disease, who presented with fever, chills, and rigours at the third hours of dialysis session, associated with intradialytic hypotension. The patient underwent dialysis using a left subclavian cuffed catheter, after multiple failures of fistula formations previously. Diagnosis of catheter-related bloodstream infection was made, and blood culture showed C. Gleum from both catheters' lumens. The patient showed improvement with intravenous Ciprofloxacin and tablet bactrim. Culture became negative after treatment and catheter was saved. Conclusion: Chryseobacterium gleum is an emerging pathogen that causes healthcare-associated infection for people with indwelling hemodialysis catheters. The condition poses a diagnostic and therapeutic challenge since it has been resistant to numerous broad-spectrum antibiotics. However, early management of the disease with correct antibiotics results in better response without removing indwelling catheters.
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spelling upm.eprints-963932023-01-30T06:56:09Z http://psasir.upm.edu.my/id/eprint/96393/ Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature Zakaria, Nor Fadhlina Mohamed Hatta, Siti Nabihah Wan Zukiman, Wan Zul Haikal Hafiz Background: Chryseobacterium (Flavo.) gleum is a rare organism causing catheter-related bloodstream infections. The organism is primarily found on moist hospital surfaces, like washbasins and dressing trolleys. It has been described as the agent for bacteremia, pneumonia, and skin and soft tissue infections in clinical settings. Case Presentation: We report the case of a 60-year-old man with end-stage kidney disease, who presented with fever, chills, and rigours at the third hours of dialysis session, associated with intradialytic hypotension. The patient underwent dialysis using a left subclavian cuffed catheter, after multiple failures of fistula formations previously. Diagnosis of catheter-related bloodstream infection was made, and blood culture showed C. Gleum from both catheters' lumens. The patient showed improvement with intravenous Ciprofloxacin and tablet bactrim. Culture became negative after treatment and catheter was saved. Conclusion: Chryseobacterium gleum is an emerging pathogen that causes healthcare-associated infection for people with indwelling hemodialysis catheters. The condition poses a diagnostic and therapeutic challenge since it has been resistant to numerous broad-spectrum antibiotics. However, early management of the disease with correct antibiotics results in better response without removing indwelling catheters. Discover STM Publishing 2021 Article PeerReviewed Zakaria, Nor Fadhlina and Mohamed Hatta, Siti Nabihah and Wan Zukiman, Wan Zul Haikal Hafiz (2021) Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature. International Journal of Medicine in Developing Countries, 5 (5). 1260 - 1262. ISSN 1658-7820 https://www.ejmanager.com/mnstemps/51/51-1608537752.pdf?t=1667962831 10.24911/IJMDC.51-1608537752
spellingShingle Zakaria, Nor Fadhlina
Mohamed Hatta, Siti Nabihah
Wan Zukiman, Wan Zul Haikal Hafiz
Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature
title Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature
title_full Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature
title_fullStr Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature
title_full_unstemmed Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature
title_short Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature
title_sort chryseobacterium gleum catheter related blood stream infection a case report and a review of literature
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