Fatal course of Chryseobacterium indolegenes bacteremia in an infant with biliary atresia and cytomegalovirus infection


DİNLEYİCİ E. Ç., Kiremitci A., Durmus-Aydogdu S., Kocak A. K., IŞIKSOY S., DURMAZ G.

Journal of Medical Sciences, vol.7, no.7, pp.1221-1224, 2007 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 7
  • Publication Date: 2007
  • Doi Number: 10.3923/jms.2007.1221.1224
  • Journal Name: Journal of Medical Sciences
  • Journal Indexes: Scopus, Communication Abstracts
  • Page Numbers: pp.1221-1224
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

Chryseobacterium indologenes is a rare isolate from humans but has been implicated in cases of pneumonia, meningitis, pyomyositis, keratitis, cellulites, bacteremia and indwelling device sepsis. Here-in fatal outcome of sepsis due to C. indologenes in a four month old girl with biliary atresia and cytomegalovirus (CMV) infection was presented. Clinical course may be severe including disseminated intravascular coagulation and severe pneumonia mimicking adult-respiratory distress syndrome. Our case is also indicative that C. indologenes may occur in children with no history of malignancy, diabetes or indwelling device. Underlying disease including infection like CMV or other chronic conditions like cholestasis or long duration of hospitalization due to chronic illness may be affecting factors on the clinical course of our patient.