1887

Abstract

Introduction:

infections are rare and have been only rarely reported in the literature. This may be due to the misidentification of as a -like organism. To the best of our knowledge, we present what we believe to be the first case report on bacteraemia in India.

Case presentation:

A 65-year-old female patient with compromising underlying illness presented with signs and symptoms of bacteraemia. The organism was initially identified as by a bioMérieux colorimetric VITEK 2 Compact GN ID card, but 16S rRNA gene sequencing confirmed the isolate as .

Conclusion:

The case emphasizes the importance of as an emerging opportunistic pathogen. Although automated systems allow accurate and rapid identification of commonly isolated bacterial organisms, they are less likely to correctly identify slow-growing, fastidious, rare or biochemically inert organisms. Therefore, it is good to confirm such isolates with a second method such as 16S sequencing and/or matrix-assisted laser desorption/ionization time-of-flight MS.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.000092
2015-10-09
2024-04-20
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/2/5/jmmcr000092.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.000092&mimeType=html&fmt=ahah

References

  1. Alireza A., Marziye A., Yahya H. 2006; Quinolone resistance in Oligella urethralis associated urinary tract infection. Iran J Pharmacol Ther 5:83–85
    [Google Scholar]
  2. ASM 2014; Sentinel level clinical laboratory guidelines for suspected agents of bioterrorism and emerging infectious diseases: Fransciella tularensis. http://www.asm.org/index.php/guidelines/sentinel-guidelines
    [Google Scholar]
  3. Baqi M., Mazzulli T. 1996; Oligella infections: case report and review of the literature. Can J Infect Dis 7:377–379[PubMed]
    [Google Scholar]
  4. Baruah F. K., Jain M., Lodha M., Grover R. K. 2014; Blood stream infection by an emerging pathogen Oligella ureolytica in a cancer patient: case report and review of literature. Indian J Pathol Microbiol 57:141–143 [View Article][PubMed]
    [Google Scholar]
  5. Bosshard P. P., Zbinden R., Abels S., Böddinghaus B., Altwegg M., Böttger E. C. 2006; rRNA gene sequencing versus the API 20 NE system and the VITEK 2 ID-GNB card for identification of nonfermenting Gram-negative bacteria in the clinical laboratory. J Clin Microbiol 44:1359–1366 [View Article][PubMed]
    [Google Scholar]
  6. de Melo Oliveira M. G., Abels S., Zbinden R., Bloemberg G.V., Zbinden A. 2013; Accurate identification of fastidious Gram-negative rods: integration of both conventional phenotypic methods and 16S rRNA gene analysis. BMC Microbiol 13:162 [View Article][PubMed]
    [Google Scholar]
  7. Drancourt M., Bollet C., Carlioz A., Martelin R., Gayral J. P., Raoult D. 2000; 16S ribosomal DNA sequence analysis of a large collection of environmental and clinical unidentifiable bacterial isolates. J Clin Microbiol 38:3623–3630[PubMed]
    [Google Scholar]
  8. Mesnard R., Sire J. M., Donnio P. Y., Riou J. Y., Avril J. L. 1992; Septic arthritis due to Oligella urethralis. Eur J Clin Microbiol Infect Dis 11:195–196 [View Article][PubMed]
    [Google Scholar]
  9. Rossau R., Kersters K., Falsen E., Jantzen E., Segers P., Union A., Nehls L., De Ley J. 1987; Oligella, a new genus including Oligella urethralis comb. nov., (formerly Moraxella urethralis) and Oligella ureolytica sp. nov. (formerly CDC group IVe). Int J Syst Bacteriol 37:198–210 [View Article]
    [Google Scholar]
  10. Snyder J. W., Munier G. K., Johnson C. L. 2008; Direct comparison of the BD phoenix system with the MicroScan WalkAway system for identification and antimicrobial susceptibility testing of Enterobacteriaceae and nonfermentative gram-negative organisms. J Clin Microbiol 46:2327–2333 [View Article][PubMed]
    [Google Scholar]
  11. Winn W., Allen S., Janda W., Koneman E. W., Procop G., Schreckenberger P., Woods G. 2006; The nonfermentative Gram negative bacilli. In Koneman's Color Atlas and Textbook of Diagnostic Microbiology pp 305–391, 6th edn. Baltimore: MD: Lippincott Williams & Wilkins;
    [Google Scholar]
  12. Zbinden A., Böttger E. C., Bosshard P. P., Zbinden R. 2007; Evaluation of the colorimetric VITEK 2 card for identification of gram-negative nonfermentative rods: comparison to 16S rRNA gene sequencing. J Clin Microbiol 45:2270–2273 [View Article][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.000092
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.000092
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error