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Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature


Zakaria, Nor Fadhlina and Mohamed Hatta, Siti Nabihah and Wan Zukiman, Wan Zul Haikal Hafiz (2021) Chryseobacterium gleum catheter-related blood stream infection: a case report and a review of literature. International Journal of Medicine in Developing Countries, 5 (5). 1260 - 1262. ISSN 1658-7820


Background: Chryseobacterium (Flavo.) gleum is a rare organism causing catheter-related bloodstream infections. The organism is primarily found on moist hospital surfaces, like washbasins and dressing trolleys. It has been described as the agent for bacteremia, pneumonia, and skin and soft tissue infections in clinical settings. Case Presentation: We report the case of a 60-year-old man with end-stage kidney disease, who presented with fever, chills, and rigours at the third hours of dialysis session, associated with intradialytic hypotension. The patient underwent dialysis using a left subclavian cuffed catheter, after multiple failures of fistula formations previously. Diagnosis of catheter-related bloodstream infection was made, and blood culture showed C. Gleum from both catheters' lumens. The patient showed improvement with intravenous Ciprofloxacin and tablet bactrim. Culture became negative after treatment and catheter was saved. Conclusion: Chryseobacterium gleum is an emerging pathogen that causes healthcare-associated infection for people with indwelling hemodialysis catheters. The condition poses a diagnostic and therapeutic challenge since it has been resistant to numerous broad-spectrum antibiotics. However, early management of the disease with correct antibiotics results in better response without removing indwelling catheters.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.24911/IJMDC.51-1608537752
Publisher: Discover STM Publishing
Keywords: Case report; Chryseobacterium (Flavo.) gleum; Catheter; Blood stream infection
Depositing User: Ms. Nuraida Ibrahim
Date Deposited: 30 Jan 2023 06:56
Last Modified: 30 Jan 2023 06:56
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.24911/IJMDC.51-1608537752
URI: http://psasir.upm.edu.my/id/eprint/96393
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