Chryseobacterium indologenes was saprophytic gram-negative rods which can give multiple organ failure among the immunocompromised patients. In this paper, we herein report a case of bicytopenia and severe urinary infection due to Chryseobacterium indologenes in immunocompetent patient. The case consisted of a 45-year-old Malagasy male immunocompetent patient, admitted for acute onset of fever and chills three days after laparotomy. He had no past medical history. Clinical examination showed low blood pressure 80/40mmHg, heart rate beat 130 bpm. He presented distended bladder. The remainder of the physical examination was unremarkable. Laboratory test showed anemia and thrombocytopenia and elevated C reactive protein. Urine culture was positive for multiresistant C. indologenes, but the antibiogram was unavailable. The patient’s inflammatory and vasculitis work-up was unremarkable. Malignancy work-up was also negative. Bladder catheter was removed. Clinical improvement was observed on empiric levofloxacin® and trimethoprim-sulfamethoxazole® antibiotic therapy. Bicytopenia and severe form urinary infection in an immunocompetent patient was a manifestation of C. indologenes in our case. Association of broad-spectrum antibiotic might be used in nosocomial infection if the antibiogram was unavailable in this infection. Removing the bladder catheter may also be an important consideration. Furthermore, there was no similar case in our hospital. So, more epidemiological studies are required to explain the transmission mechanism and develop effective preventive measures.
| Published in | World Journal of Medical Case Reports (Volume 4, Issue 2) |
| DOI | 10.11648/j.wjmcr.20230402.11 |
| Page(s) | 22-25 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Chryseobacterium indologenes, Nosocomial Urinary Infection, Bicytopenia, Immunocompetent
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APA Style
Randriamampianina Tahianasoa, Ernestho-Ghoud Indretsy Mahavivola, Rakotonaivo Andoniaina, Soilihi Moustafa Abdou, Raveloson Nasolotsiry Enintsoa, et al. (2023). Bicytopenia and Urinary Infection Due to Chryseobacterium indologenes in an Immunocompetent Patient: A Case Report. World Journal of Medical Case Reports, 4(2), 22-25. https://doi.org/10.11648/j.wjmcr.20230402.11
ACS Style
Randriamampianina Tahianasoa; Ernestho-Ghoud Indretsy Mahavivola; Rakotonaivo Andoniaina; Soilihi Moustafa Abdou; Raveloson Nasolotsiry Enintsoa, et al. Bicytopenia and Urinary Infection Due to Chryseobacterium indologenes in an Immunocompetent Patient: A Case Report. World J. Med. Case Rep. 2023, 4(2), 22-25. doi: 10.11648/j.wjmcr.20230402.11
AMA Style
Randriamampianina Tahianasoa, Ernestho-Ghoud Indretsy Mahavivola, Rakotonaivo Andoniaina, Soilihi Moustafa Abdou, Raveloson Nasolotsiry Enintsoa, et al. Bicytopenia and Urinary Infection Due to Chryseobacterium indologenes in an Immunocompetent Patient: A Case Report. World J Med Case Rep. 2023;4(2):22-25. doi: 10.11648/j.wjmcr.20230402.11
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Download@article{10.11648/j.wjmcr.20230402.11,
author = {Randriamampianina Tahianasoa and Ernestho-Ghoud Indretsy Mahavivola and Rakotonaivo Andoniaina and Soilihi Moustafa Abdou and Raveloson Nasolotsiry Enintsoa and Vololontiana Hanta Marie Danielle},
title = {Bicytopenia and Urinary Infection Due to Chryseobacterium indologenes in an Immunocompetent Patient: A Case Report},
journal = {World Journal of Medical Case Reports},
volume = {4},
number = {2},
pages = {22-25},
doi = {10.11648/j.wjmcr.20230402.11},
url = {https://doi.org/10.11648/j.wjmcr.20230402.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20230402.11},
abstract = {Chryseobacterium indologenes was saprophytic gram-negative rods which can give multiple organ failure among the immunocompromised patients. In this paper, we herein report a case of bicytopenia and severe urinary infection due to Chryseobacterium indologenes in immunocompetent patient. The case consisted of a 45-year-old Malagasy male immunocompetent patient, admitted for acute onset of fever and chills three days after laparotomy. He had no past medical history. Clinical examination showed low blood pressure 80/40mmHg, heart rate beat 130 bpm. He presented distended bladder. The remainder of the physical examination was unremarkable. Laboratory test showed anemia and thrombocytopenia and elevated C reactive protein. Urine culture was positive for multiresistant C. indologenes, but the antibiogram was unavailable. The patient’s inflammatory and vasculitis work-up was unremarkable. Malignancy work-up was also negative. Bladder catheter was removed. Clinical improvement was observed on empiric levofloxacin® and trimethoprim-sulfamethoxazole® antibiotic therapy. Bicytopenia and severe form urinary infection in an immunocompetent patient was a manifestation of C. indologenes in our case. Association of broad-spectrum antibiotic might be used in nosocomial infection if the antibiogram was unavailable in this infection. Removing the bladder catheter may also be an important consideration. Furthermore, there was no similar case in our hospital. So, more epidemiological studies are required to explain the transmission mechanism and develop effective preventive measures.},
year = {2023}
}
TY - JOUR T1 - Bicytopenia and Urinary Infection Due to Chryseobacterium indologenes in an Immunocompetent Patient: A Case Report AU - Randriamampianina Tahianasoa AU - Ernestho-Ghoud Indretsy Mahavivola AU - Rakotonaivo Andoniaina AU - Soilihi Moustafa Abdou AU - Raveloson Nasolotsiry Enintsoa AU - Vololontiana Hanta Marie Danielle Y1 - 2023/05/10 PY - 2023 N1 - https://doi.org/10.11648/j.wjmcr.20230402.11 DO - 10.11648/j.wjmcr.20230402.11 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 22 EP - 25 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20230402.11 AB - Chryseobacterium indologenes was saprophytic gram-negative rods which can give multiple organ failure among the immunocompromised patients. In this paper, we herein report a case of bicytopenia and severe urinary infection due to Chryseobacterium indologenes in immunocompetent patient. The case consisted of a 45-year-old Malagasy male immunocompetent patient, admitted for acute onset of fever and chills three days after laparotomy. He had no past medical history. Clinical examination showed low blood pressure 80/40mmHg, heart rate beat 130 bpm. He presented distended bladder. The remainder of the physical examination was unremarkable. Laboratory test showed anemia and thrombocytopenia and elevated C reactive protein. Urine culture was positive for multiresistant C. indologenes, but the antibiogram was unavailable. The patient’s inflammatory and vasculitis work-up was unremarkable. Malignancy work-up was also negative. Bladder catheter was removed. Clinical improvement was observed on empiric levofloxacin® and trimethoprim-sulfamethoxazole® antibiotic therapy. Bicytopenia and severe form urinary infection in an immunocompetent patient was a manifestation of C. indologenes in our case. Association of broad-spectrum antibiotic might be used in nosocomial infection if the antibiogram was unavailable in this infection. Removing the bladder catheter may also be an important consideration. Furthermore, there was no similar case in our hospital. So, more epidemiological studies are required to explain the transmission mechanism and develop effective preventive measures. VL - 4 IS - 2 ER -
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