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J Med Case Rep ; 11(1): 118, 2017 Apr 24.
Article in English | MEDLINE | ID: mdl-28438192

ABSTRACT

BACKGROUND: Here we report a rare case of a urinary tract infection due to Chryseobacterium gleum. This widely distributed Gram-negative bacillus is an uncommon human pathogen and is typically associated with health care settings. CASE PRESENTATION: We describe a case of urinary tract infection caused by Chryseobacterium gleum in a 68-year-old man of Wolof ethnicity (an ethnic group in Senegal, West Africa) who presented to our Department of Urology in a university teaching hospital (Hôpital Aristide Le Dantec) in Dakar, Senegal, 1 month after prostatectomy. The strain isolated from a urine sample was identified as Chryseobacterium gleum by mass spectrometry (Vitek matrix-assisted laser desorption/ionization, time-of-flight, bioMérieux) and confirmed by 16S ribosomal ribonucleic acid sequencing. The organism was resistant to a wide range of antibiotics, including carbapenem, due to a resident metallo-ß-lactamase gene that shared 99% of amino-acid identity with Chryseobacterium gleum class B enzym. CONCLUSIONS: Infection by Chryseobacterium gleum is infrequent, and no such case has been previously reported in Africa. Despite its low virulence, Chryseobacterium gleum should be considered a potential opportunistic and emerging pathogen. Further studies on the epidemiology, pathogenicity, and resistance mechanisms of Chryseobacterium gleum are needed for better diagnosis and management.


Subject(s)
Catheter-Related Infections/microbiology , Catheters, Indwelling/microbiology , Chryseobacterium/pathogenicity , Flavobacteriaceae Infections/microbiology , Prostatectomy/adverse effects , Urinary Catheters/microbiology , Urinary Tract Infections/microbiology , Aged , Amikacin/therapeutic use , Anti-Bacterial Agents/therapeutic use , Bacterial Typing Techniques , Catheter-Related Infections/drug therapy , Device Removal , Fever , Flavobacteriaceae Infections/drug therapy , Humans , Hypertension , Male , Senegal , Treatment Outcome , Urinary Tract Infections/drug therapy
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