Catheter-related bacteremia caused by Agrobacterium radiobacter in a cancer patient: case report and literature review.
Agrobacteria are a group of phytopathogenic organisms widely distributed in soil; they are now recognized as rare human pathogens affecting mostly immunocompromised hosts. We report a case of catheter-related bacteremia due to Agrobacterium radiobacter in a neutropenic patient and describe the clinical presentations, treatment strategies and outcome of Agrobacterium infections based on our experience and a literature review. The antimicrobial susceptibility patterns of these organisms appear to be quite variable and collective susceptibility data derived from this and previous reports are provided.
Paphitou
N I
NI
Division of Infectious Diseases, University of Texas-Houston Medical School, Houston, TX 77030, USA. gmix@msn.com
Rolston
K V I
KV
D016960:Agrobacterium tumefaciens / Q000302:isolation & purification*; D000900:Anti-Bacterial Agents; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000009:adverse effects; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D001859:Bone Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D002408:Catheters, Indwelling / Q000009:adverse effects* / Q000382:microbiology; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents