Acute lymphoblastic leukemia was diagnosed in a 7-year-old girl. Two months after insertion of a central venous catheter, she developed fever and complained of headache and abdominal pain. Physical examination revealed no focus of infection. A gram-negative nonfermenting bacillus was recurrently cultured from blood. Extensive biochemical testing and 16S ribosomal DNA sequencing led to the identification of Ralstonia gilardii.
Wauters, G., Claeys, G., Verschraegen, G., De Baere, T., Vandecruys, E., Van Simaey, L., … Vaneechoutte, M. (2001). Case of catheter sepsis with Ralstonia gilardii in a child with acute lymphoblastic leukemia. Journal of Clinical Microbiology, 39(12), 4583–4584. https://doi.org/10.1128/JCM.39.12.4583-4584.2001