Chryseobacterium gleum infection in patient with extreme malnutrition and hepatic lesion - case report

Abstract

Chrysobacterium gleum is a nonmotile, oxidase positive, non-fermentative un­sporulate Gram-negative bacillus, bacteria belonging to the genus Chrysobacterium. Infections caused by Chrysobacterium spp are usually health care associated and the most frequent in immunocompromised patients and neonates. In this report we present a case of a 35-year-old female patient admitted to the hospital for extreme malnutrition and a hepatic le­sion. Chrysobacterium gleum was isolated from tracheal aspirate and blood culture. The strain was identified with Microflex MALDI Biotyper (Bruker Daltonik, Fre­mont, CA). The patient was successfully treated with piperacillin/tazobactam. Em­pirical therapy is difficult due to intrinsic resistance to most antimicrobials which are usually effective against Gram-negative bacteria.