A rare case of complicated pericardial effusion with Elizabethkingia meningoseptica from Iran

Hadi Sedigh Ebrahim-Saraie; Hamid Heidari; Reza Khashei; Seyed Hesamedin Nabavizadeh

doi:10.14715/cmb/2018.64.3.9

Issue

Vol. 64 No. 3: Issue 3

Issue Published : March 3, 2018

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A rare case of complicated pericardial effusion with Elizabethkingia meningoseptica from Iran

https://doi.org/10.14715/cmb/2018.64.3.9

Hadi Sedigh Ebrahim-Saraie

Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Hamid Heidari

Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Reza Khashei

Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Seyed Hesamedin Nabavizadeh

Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Corresponding Author(s) : Reza Khashei

re.khashei@gmail.com

Cellular and Molecular Biology, Vol. 64 No. 3: Issue 3
Article Published : February 28, 2018

Abstract

Infections due to Elizabethkingia meningoseptica, a Gram-negative oxidative bacterium are frequently founded in neonatal and immunocompromised individuals. The notable characteristic of this organism is its multi-drug resistance to common antibiotics used for infections caused by Gram-negative bacteria. We report a rare case of complicated pericardial effusion due to E. meningoseptica in a 2-year-old boy, who was admitted with chief complaints of fever and tachypnea (mentioned by his parents) and suffered from a rare lung malignancy (lymphangioleiomyomatosis). He was successfully treated with vancomycin. E. meningoseptica infection is a rare situation in immunocompetent hosts, and we concluded that this infection was probably originated from device medicine or even hands of healthcare workers.

Keywords

Elizabethkingia meningoseptica Pediatric Lung malignancy Iran.

Sedigh Ebrahim-Saraie, H., Heidari, H., Khashei, R., & Nabavizadeh, S. H. (2018). A rare case of complicated pericardial effusion with Elizabethkingia meningoseptica from Iran. Cellular and Molecular Biology, 64(3), 53–55. https://doi.org/10.14715/cmb/2018.64.3.9

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References

Rastogi N, Mathur P, Bindra A, Goyal K, Sokhal N, Kumar S, Sagar S, Aggarwal R, Soni KD, Tandon V. Infections due to Elizabethkingia meningoseptica in critically injured trauma patients: a seven-year study. J Hosp Infect 2016;92:30-2.
Jean SS, Lee WS, Chen FL, Ou TY, Hsueh PR. Elizabethkingia meningoseptica: an important emerging pathogen causing healthcare-associated infections. J Hosp Infect 2014;86:244-9.
Tak V, Mathur P, Varghese P, Misra MC. Elizabethkingia meningoseptica: an emerging pathogen causing meningitis in a hospitalized adult trauma patient. Indian J Med Microbiol 2013;31:293-5.
Young SM, Lingam G, Tambyah PA. Elizabethkingia Meningoseptica Engodenous Endophthalmitis - a case report. Antimicrob Resist Infect Control 2014;3:35.
Boroda K, Li L. Elizabethkingia meningosepticum in a Patient with Six-Year Bilateral Perma-Catheters. Case Rep Infect Dis 2014;2014:985306.
Yang J, Xue W, Yu X. Elizabethkingia meningosepticum endocarditis: A rare case and special therapy. Anatol J Cardiol 2015;15:427-8.
Dias M, Fernandes A, Furtado Z. Case series: elizabethkingia meningosepticum. J Clin Diagn Res 2012;6:1550-1.
Ratnamani MS, Rao R. Elizabethkingia meningoseptica: Emerging nosocomial pathogen in bedside hemodialysis patients. Indian J Crit Care Med 2013;17:304-7.
Mahon CR, Lehman DC, Manusclis G. Nonfermenting and Miscellaneous Gram-Negative Bacilli in Textbook of Diagnostic Microbiology. 5th ed. Saunders Elsevier 2015:pp. 424-94.
Wayne PA. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing. 25th Informational Supplement 2015;M100-S25.
Swain B, Rout S, Otta S, Rakshit A. Elizabethkingia meningoseptica: an unusual cause for septicaemia. JMM Case Reports 2015;2.
Amer MZ, Bandey M, Bukhari A, Nemenqani D. Neonatal meningitis caused by Elizabethkingia meningoseptica in Saudi Arabia. J Infect Dev Ctries 2011;5:745-7.
Connell PP, Wickremasinghe S, Devi U, Waters MJ, Allen PJ. Self-induced Elizabethkingia meningoseptica endophthalmitis: a case report. J Med Case Rep 2011;5:303.
Ghafur A, Vidyalakshmi PR, Priyadarshini K, Easow JM, Raj R, Raja T. Elizabethkingia meningoseptica bacteremia in immunocompromised hosts: The first case series from India. South Asian J Cancer 2013;2:211-5.
Shinha T, Ahuja R. Bacteremia due to Elizabethkingia meningoseptica. IDCases 2015;2:13-5.
Lima JLdC, Albuquerque GS, Alves LR, Torres KB, Mello LRBd, Cavalcanti PGeS, Araújo PSR, Maciel MAV. Infection by multidrug-resistant Elizabethkingia meningoseptica: case reports. J Bras Patol Med Lab 2014;50:434-6.
[EUCAST] The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 5.0, 2015. http://www.eucast.org

References

Rastogi N, Mathur P, Bindra A, Goyal K, Sokhal N, Kumar S, Sagar S, Aggarwal R, Soni KD, Tandon V. Infections due to Elizabethkingia meningoseptica in critically injured trauma patients: a seven-year study. J Hosp Infect 2016;92:30-2.

Jean SS, Lee WS, Chen FL, Ou TY, Hsueh PR. Elizabethkingia meningoseptica: an important emerging pathogen causing healthcare-associated infections. J Hosp Infect 2014;86:244-9.

Tak V, Mathur P, Varghese P, Misra MC. Elizabethkingia meningoseptica: an emerging pathogen causing meningitis in a hospitalized adult trauma patient. Indian J Med Microbiol 2013;31:293-5.

Young SM, Lingam G, Tambyah PA. Elizabethkingia Meningoseptica Engodenous Endophthalmitis - a case report. Antimicrob Resist Infect Control 2014;3:35.

Boroda K, Li L. Elizabethkingia meningosepticum in a Patient with Six-Year Bilateral Perma-Catheters. Case Rep Infect Dis 2014;2014:985306.

Yang J, Xue W, Yu X. Elizabethkingia meningosepticum endocarditis: A rare case and special therapy. Anatol J Cardiol 2015;15:427-8.

Dias M, Fernandes A, Furtado Z. Case series: elizabethkingia meningosepticum. J Clin Diagn Res 2012;6:1550-1.

Ratnamani MS, Rao R. Elizabethkingia meningoseptica: Emerging nosocomial pathogen in bedside hemodialysis patients. Indian J Crit Care Med 2013;17:304-7.

Mahon CR, Lehman DC, Manusclis G. Nonfermenting and Miscellaneous Gram-Negative Bacilli in Textbook of Diagnostic Microbiology. 5th ed. Saunders Elsevier 2015:pp. 424-94.

Wayne PA. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing. 25th Informational Supplement 2015;M100-S25.

Swain B, Rout S, Otta S, Rakshit A. Elizabethkingia meningoseptica: an unusual cause for septicaemia. JMM Case Reports 2015;2.

Amer MZ, Bandey M, Bukhari A, Nemenqani D. Neonatal meningitis caused by Elizabethkingia meningoseptica in Saudi Arabia. J Infect Dev Ctries 2011;5:745-7.

Connell PP, Wickremasinghe S, Devi U, Waters MJ, Allen PJ. Self-induced Elizabethkingia meningoseptica endophthalmitis: a case report. J Med Case Rep 2011;5:303.

Ghafur A, Vidyalakshmi PR, Priyadarshini K, Easow JM, Raj R, Raja T. Elizabethkingia meningoseptica bacteremia in immunocompromised hosts: The first case series from India. South Asian J Cancer 2013;2:211-5.

Shinha T, Ahuja R. Bacteremia due to Elizabethkingia meningoseptica. IDCases 2015;2:13-5.

Lima JLdC, Albuquerque GS, Alves LR, Torres KB, Mello LRBd, Cavalcanti PGeS, Araújo PSR, Maciel MAV. Infection by multidrug-resistant Elizabethkingia meningoseptica: case reports. J Bras Patol Med Lab 2014;50:434-6.

[EUCAST] The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 5.0, 2015. http://www.eucast.org

Author biographies is not available.