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Case Reports
. 2016 Dec 5:9:441-446.
doi: 10.2147/IJGM.S125183. eCollection 2016.

Bacteremia caused by a rare pathogen - Chromobacterium violaceum: a case report from Nepal

Narayan Prasad Parajuli  1 , Anjeela Bhetwal  2 , Sumitra Ghimire  2 , Anjila Maharjan  2 , Shreena Shakya  2 , Deepa Satyal  2 , Roshan Pandit  2 , Puspa Raj Khanal  2
Affiliations
Case Reports

Bacteremia caused by a rare pathogen - Chromobacterium violaceum: a case report from Nepal

Narayan Prasad Parajuli et al. Int J Gen Med. .

Abstract

Chromobacterium violaceum is a gram negative saprophytic bacterium, prevalent in tropical and subtropical climates. Infections caused by C. violaceum are very uncommon, yet it can cause severe systemic infections with higher mortality when entered into the bloodstream through open wound. A case of symptomatic bacteremia in a woman caused by C. violaceum was identified recently at a tertiary care teaching hospital in Nepal. Timely diagnosis by microbiological methods and rapid administration of antimicrobials led to a successful treatment of this life-threatening infection in this case. From this experience, we suggest to include this bacterium in the differential diagnosis of sepsis, especially when abraded skin is exposed to soil or stagnant water in tropical areas. The precise antimicrobial selection and timely administration should be considered when this infection is suspected.

Keywords: Chromobacterium violaceum; Nepal; bacteremia; case report.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Chromobacterium violaceum growing on chocolate agar.
Figure 2
Figure 2
Chromobacterium violaceum growing on nutrient agar.
Figure 3
Figure 3
Biochemical test results of Chromobacterium violaceum. Abbreviation: OF, oxidation–fermentation.
Figure 4
Figure 4
Antimicrobial susceptibility test of Chromobacterium violaceum.
Figure 5
Figure 5
Antimicrobial susceptibility test of Chromobacterium violaceum.
See this image and copyright information in PMC

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