Elizabethkingia anophelis Infections: A Case Series From a Tertiary Care Hospital in Uttar Pradesh

Abstract

Elizabethkingia anophelis is a gram-negative, aerobic, non-motile rod belonging to the ​​​​​Flavobacteriaceae family. Elizabethkingia is a genus of bacteria commonly found in the environment worldwide and has been detected in soil, river, water, and reservoirs. Over the period, it has emerged as an opportunistic human pathogen involved in neonatal meningitis and sepsis, as well as nosocomial outbreaks in adults with underlying medical conditions, including malignancies, diabetes, and chronic obstructive pulmonary disease. Here, we present a series of three cases of infection of E. anophelis in different clinical samples. These three cases were referred from different departments of King George's Medical University (KGMU), Lucknow, India to the Critical Care Medicine Department of KGMU, and finally succumbed to the infection.

Keywords: diagnosis; e. anophelis; elizabethkingia anophelis; empirical antibiotic therapy; intensive care unit; nosocomial infection.

Figure 1. CT scan of the head showing left hemispheric acute subdural hemorrhage with a left temporoparietal contusion, shown by arrows in the figure. The first arrow shows hemorrhage and the second arrow below shows contusion

Figure 2. Chest X-ray showing right clavicle fracture (arrow)

Figure 3. Colonies of Elizabethkingia anophelis on blood agar