Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 May 18:11:743-749.
doi: 10.2147/IDR.S161069. eCollection 2018.

Extensively drug-resistant Myroides odoratimimus - a case series of urinary tract infections in immunocompromised patients

Affiliations

Extensively drug-resistant Myroides odoratimimus - a case series of urinary tract infections in immunocompromised patients

Monica Licker et al. Infect Drug Resist. .

Abstract

Purpose: We report an outbreak of urinary tract infections (UTIs) caused by Myroides odoratimimus, which occurred in the largest clinical hospital in western Romania.

Patients and methods: From June to August 2017, four strains of M. odoratimimus were isolated from the urine samples of patients hospitalized in the urology, diabetes, and surgery departments. Hospital records of all patients whose urine cultures were positive for M. odoratimimus were reviewed retrospectively. We also reviewed the cases reported in the literature.

Results: All UTIs, except one, were hospital-acquired infections. All patients with M. odoratimimus UTIs were immunocompromised. Three patients underwent urinary catheterization with a Foley's catheter upon admission in the emergency department and one presented for replacement of ureterostomy tubes. All Myroides isolates were resistant to almost all the tested antibiotics. Two patients were successfully treated with tigecycline and one was receiving antimicrobial treatment for another infection at the time of isolation of the microorganism.

Conclusion: Although M. odoratimimus is an uncommon pathogen, clinicians should be aware of its ability to cause UTI outbreaks, especially in the immunocompromised population. Due to its multi-drug resistance, it is important to rapidly identify Myroides spp. in order to choose the best treatment regimen.

Keywords: Myroides odoratimimus; outbreak; resistance; urinary tract infection.

PubMed Disclaimer

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

    1. Vancanneyt M, Segers P, Torck U, et al. Reclassification of Flavobacterium odoratum (Stutzer 1929) strains to a new genus, Myroides, as Myroides odoratus comb. nov. and Myroides odoratimimus sp nov. Int J Syst Bacteriol. 1996;46(4):926–932.
    1. Bernardet JF, Segers P, Vancanneyt M, Berthe F, Kersters K, Vandamme P. Cutting a Gordian knot: emended classification and description of the genus Flavobacterium, emended description of the family Flavobacteriaceae, and proposal of Flavobacterium hydatis nom. nov. (basonym, Cytophaga aquatilis Strohl and Tait 1978) Int J Syst Bacteriol. 1996;46(1):128–148.
    1. Ram H, Kumar A, Thomas L, Dastager SG, Mawlankar R, Singh VP. Myroides indicus sp. nov., isolated from garden soil. Int J Syst Evol Microbiol. 2015;65(11):4008–4012. - PubMed
    1. Yang Q, Wang R, Ren S, Szoboszlay M, Moe LA. Practical survey on antibiotic-resistant bacterial communities in livestock manure and manure-amended soil. J Environ Sci Health B. 2016;51(1):14–23. - PubMed
    1. Vaz-Moreira I, Varela AR, Pereira TV, Fochat RC, Manaia CM. Multi-drug resistance in quinolone-resistant gram-negative bacteria isolated from hospital effluent and the municipal wastewater treatment plant. Microb Drug Resist. 2016;22(2):155–163. - PubMed