title: [Pharyngitis due to Burkholderia cepacia. Person-to-person transmission].
abstract: Burkholderia cepacia is a Gram-negative bacillus that is widely distributed in nature; it is isolated from the ground, water, plants and vegetables. Generally, it produces nosocomial infection due to contamination of disinfectants, medical equipment, prosthetic material and drugs, such as anesthetics or liquids used in urological irrigation. The most probable mechanism of transmission is through hospital material or through fomites among people after contact for several weeks or months. Recently, it has been considered as an important pathogen in immunocompromised patients, or in those with significant underlying diseases, such as chronic granulomastosis or cystic fibrosis. We present a case of pharyngitis due to B. cepacia and its transmission within a few days in two immunocompetent twin siblings without previous underlying diseases. The infection disappeared after specific treatment for this microorganism was started. We believe that samples should be taken from the pharynx and nasal pits in patients with acute upper respiratory tract processes that do not respond to empiric antibiotic treatment, before classifying them as viral infection without etiologic diagnosis.
authors.affiliation: Sección de Microbiología, Hospital Universitario Perpetuo Socorro, Damián Téllez Lafuente, s/n. 06010 Badajoz, Spain. mfolivares@eresmas.com
authors.forename: M
authors.initials: M
authors.lastname: Fajardo Olivares
authors.forename: J L
authors.initials: JL
authors.lastname: Cordero Carrasco
authors.forename: A
authors.initials: A
authors.lastname: Beteta López
authors.forename: A B
authors.initials: AB
authors.lastname: Escobar Izquierdo
authors.forename: B
authors.initials: B
authors.lastname: Sacristán Enciso
mesh_terms: D019121:Burkholderia Infections / Q000175:diagnosis / Q000635:transmission*; D016956:Burkholderia cepacia / Q000302:isolation & purification; D004200:Diseases in Twins; D006801:Humans; D007121:Immunocompetence; D007223:Infant; D008297:Male; D010612:Pharyngitis / Q000382:microbiology*