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[A rare cause of catheter-related bacteremia: Rhizobium radiobacter].

Authors: Meltem, Işikgoz Taşbakan; Gürbüz, Görümlü; Hüsnü, Pullukçu; Ulus Ali, Sanli; Oğuz Reşat, Sipahi; Bülent, Karabulut; Alper, Tünger;

[A rare cause of catheter-related bacteremia: Rhizobium radiobacter].

Abstract

Rhizobium spp. (R. radiobacter, R. rhizogenes, R. rubi, R. vitis) are aerobic, motile, non-spore forming, oxidase-positive, gram-negative bacilli. Although they are mostly plant pathogens, R. radiobacter may cause human infections. The aim of this report was to present a case of R. radiobacter bacteremia treated with levofloxacin. Twenty-seven year old male patient had fever after receiving chemotherapy due to osteosarcoma. The infection focus could not be detected in the initial physical examination. Blood cultures were obtained from peripheral veins and central catheter and levofloxacin (500 mg/day) was started as empirical therapy. His fever resolved on the next day. Meanwhile cultures of blood (Bact/Alert automated systems, bioMerieux, Durham, NC) obtained from peripheral veins and central catheters yielded bacteria which were identified as R. radiobacter by VITEK 2 (bioMerieux Inc, Mercy L'etoil, France). The strain was resistant to amikacin and sensitive to ceftazidime, ciprofloxacin, imipenem, meropenem and piperacillin/tazobactam. The patient was diagnosed as catheter-related bacteremia and the treatment was continued for 14 days. His catheter was not removed since subsequent cultures did not reveal any bacterial growth. In conclusion this case suggests that R. radiobacter may cause infections especially in immunocompromised patients with catheters or prosthetic devices. To our knowledge this is the first R. radiobacter case reported from Turkey and the first case of R. radiobacter bacteremia reported to be treated with levofloxacin in the literature.

Keywords

Adult, Male, Catheterization, Central Venous, Ofloxacin, Osteosarcoma, Bacteremia, Bone Neoplasms, Levofloxacin, Microbial Sensitivity Tests, Anti-Bacterial Agents, Immunocompromised Host, Catheters, Indwelling, Agrobacterium tumefaciens, Humans, Gram-Negative Bacterial Infections

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
gold