[Sepsis caused by pigmented and no pigmented Chromobacterium violaceum].
Chromobacterium violaceum sepsis is rare but associated with a high mortality rate. We report a fatal case of C. violaceum sepsis in a 6 years old Venezuelan indian boy. Clinical manifestations were fever and swelling in the right inguinal region. The initial diagnosis was an appendicular plastron. Appendicectomy was performed and during surgery a right psoas abscess was identified that resulted culture positive for pigmented C. violaceum. Blood cultures were positive for a pigmented and non pigmented C. violaceum strain. Imipenem and amikacin were administered despite of which the child died 9 days after hospital admission.
Guevara
Armando
A
Departamento de Parasitología y Microbiología, Escuela de Ciencias de la Salud, Núcleo Bolívar, Universidad de Oriente, Bolívar, Bolívar, Venezuela. agvillefort@yahoo.com
Salomón
Marlly
M
Oliveros
María
M
Guevara
Esmirna
E
Guevara
Milarys
M
Medina
Laida
L
D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002861:Chromobacterium / Q000302:isolation & purification*; D017809:Fatal Outcome; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D007199:Indians, South American; D007223:Infant; D008297:Male; D016659:Psoas Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D018805:Sepsis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D015378:Imipenem; D000583:Amikacin