Ochrobactrum anthropi bacteremia in a child with inborn error of mitochondrial fatty acid oxidation

ABSTRACT

To report an incident of bacteremia caused by Ochrobactrum anthropi. The case of a female child aged 2 years and 10 months with a known history of long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency who developed O. anthropi bacteremia during hospital stay is presented. Patient's history, clinical findings, laboratory and radiological investigations were thoroughly reviewed. The cultured organism was identified using Micro Scan Walk Away 96 SI [Dade Behring] as well as by conventional techniques. Imipenem resistance was confirmed by the conventional Kirby-Bauer disk diffusion technique on Muller-Hinton agar with no zone of inhibition around a 10-microg imipenem disk [Hi Media] using the 0.5 McFarland standard. This report shows O. anthropi as a rare nosocomial pathogen that affected a patient who was immunocompromised. The O. anthropi showed multidrug resistance