title: Recurrent intravascular-catheter-related bacteremia caused by Delftia acidovorans in a hemodialysis patient.
abstract: We report the first case of recurrent intravascular-catheter-related bacteremia in a pediatric hemodialysis patient caused by Delftia acidovorans, previously called Comamonas acidovorans or Pseudomonas acidovorans. The patient had a history of multiple infections of central vascular catheters with other organisms, requiring courses of antibiotics and catheter replacements. Previously reported cases of D. acidovorans infections are reviewed. The isolate appeared to become resistant to cephalosporins after antibiotic treatment, but resistance could not be confirmed with additional testing. In vitro susceptibility testing for cephalosporins is not reliable for this organism.
authors.affiliation: Division of Pediatric Infectious Diseases, Department of Pediatrics, State University of New York Downstate Medical Center, 450 Clarkson Ave., Brooklyn, NY 11203, USA.
authors.forename: Kobkul
authors.initials: K
authors.lastname: Chotikanatis
authors.forename: Martin
authors.initials: M
authors.lastname: Bäcker
authors.forename: Gabriela
authors.initials: G
authors.lastname: Rosas-Garcia
authors.forename: Margaret R
authors.initials: MR
authors.lastname: Hammerschlag
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D016470:Bacteremia / Q000175:diagnosis* / Q000382:microbiology; D055499:Catheter-Related Infections / Q000175:diagnosis* / Q000382:microbiology; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002511:Cephalosporins / Q000494:pharmacology; D002648:Child; D020605:Delftia acidovorans / Q000187:drug effects / Q000302:isolation & purification*; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008826:Microbial Sensitivity Tests; D006435:Renal Dialysis / Q000009:adverse effects
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins