A case of persistent bacteraemia by Ralstonia mannitolilytica and Ralstonia pickettii in an intensive care unit

被引：30

作者：

Basso, Monica ^{[1
]}

Venditti, Carolina ^{[2
]}

Raponi, Giammarco ^{[3
]}

Navazio, Anna Sara ^{[3
]}

Alessandri, Francesco ^{[4
]}

Giombini, Emanuela ^{[2
]}

Nisii, Carla ^{[2
]}

Di Caro, Antonino ^{[2
]}

Venditti, Mario ^{[3
]}

机构：

[1] Univ Padua, Dept Mol Med, Padua, Italy

[2] L Spallanzani Natl Inst Infect Dis, Lab Microbiol, Rome, Italy

[3] Sapienza Univ Rome, Dept Publ Hlth & Infect Dis, Rome, Italy

[4] Sapienza Univ Rome, Dept Anesthesia & Intens Care Med, Rome, Italy

来源：

INFECTION AND DRUG RESISTANCE | 2019年 / 12卷

关键词：

Ralstonia pickettii; Ralstonia mannitolilytica; bacteraemia; endovascular infection; OUTBREAK; INFECTION; SEPSIS;

D O I：

10.2147/IDR.S206492

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

The Ralstonia spp. genus is a group of non-fermentative, Gram-negative bacteria often resistant to many antibiotics, which are emerging as opportunistic pathogens frequently associated with infections in hospital settings. We present herein a case of combined R. pickettii and R. mannitolilytica persisting and relapsing bacteraemia, possibly caused by a septic arterial thrombosis secondary to the rupture of an internal carotid artery aneurysm. Microbiology studies showed that both Ralstonia isolates produced biofilm and carried class D oxacillinase genes. When confronted with infections caused by members of the Ralstonia genus, identification to the species level is crucial for correct clinical management, as the two species show different antibiotic susceptibility patterns.

引用

页码：2391 / 2395

页数：5

共 38 条

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