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Case Reports
. 2020 Jan 21;12(1):e6720.
doi: 10.7759/cureus.6720.

Chryseobacterium indologenes, an Emerging Bacteria: A Case Report and Review of Literature

Dora E Izaguirre-Anariba  1 , Vel Sivapalan  1
Affiliations
Case Reports

Chryseobacterium indologenes, an Emerging Bacteria: A Case Report and Review of Literature

Dora E Izaguirre-Anariba et al. Cureus. .

Abstract

Chryseobacterium indologenes are aerobic, Gram negative, nonfermentative rods that are intrinsically multi-drug resistant. Reported infections include bacteremia, pneumonia, meningitis, myositis, keratitis, and indwelling devices. We present the clinical course of a 52-year-old African male with a medical history of end stage renal disease (ESRD) in hemodialysis with multiple episodes of central line-associated bloodstream infections (CLABSI) presenting with symptoms of chills, malaise, and localized erythema on insertion site of permacath. Blood cultures obtained from catheter showed C. indologenes. Successful response was obtained with piperacillin/tazobactam based on sensitivity and removal of indwelling catheter. Given the increase in the number of cases reported in the literature, guidelines for the management of this pathogen should be considered.

Keywords: bacteremia; c. indologenes; central line-associated infections (clabsi); multi-drug resistant bacteria.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Chest X-ray.
Right internal jugular dialysis catheter with the tip projecting to the right cavoatrial junction. No evidence of acute cardiopulmonary disease.
Figure 2
Figure 2. Subculture of isolated C. indologenes in blood agar (red) and MacConkey agar (clear).
C. indologenes grows yellowish orange colonies in blood agar. Note that there is no growth of the bacteria in MacConkey agar.
See this image and copyright information in PMC

References

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