1887

Abstract

Introduction:

has been isolated mainly from respiratory specimens and from blood of immunocompromised patients, and from ear infections or leg, arm and ankle wounds and from diabetic foot ulcers. is instead associated with bactaeremia in young adults, mostly with underlying conditions. Only three septic arthritis cases due to this species have been described in the literature.

Case presentation:

Herein we describe four cases of infections due to species that have been recovered from unusual infection sites: two cases of infections, one recovered from the urine of a patient with chronic prostatitis and the other from a liver cyst in an immunocompetent patient; one case from a bone biopsy of a patient with chronic osteomyelitis of the hip; and one case isolated from the joint fluid of an immunocompetent patient with diagnosed septic arthritis. The organisms were identified using standard biochemical tests, by API 20 NE version 6.0, by automated system VITEK 2, by mass spectrometry using the Bruker Daltonics MicroFlex LT spectrometer with MALDI Biotyper 3.1, and by PCR amplification of 16S rRNA.

Antibiotic susceptibility testing was performed using the VITEK 2 system, except for , for which the epsilometric method (Etest technique; bioMérieux) was used.

Conclusion:

We highlight the importance of isolating species from severe infections and unusual sites, and also of combining both phenotypic and genotypic methods for definitive identification.

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2015-04-01
2019-10-23
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