title: A successful antimicrobial regime for Chromobacterium violaceum induced bacteremia.
abstract: BACKGROUND
  Chromobacterium violaceum is a proteobacterium found in soil and water in tropical regions. The organism rarely causes infection in humans, yet can cause a severe systemic infection by entering the bloodstream via an open wound.
  
  
  METHODS
  We recently identified a case of severe bacteremia caused by Chromobacterium violaceum at the Hospital for Tropical Diseases (HTD) in Ho Chi Minh City, Vietnam. Here, we describe how rapid microbiological identification and a combination of antimicrobials was used to successfully treat this life threatening infection in a four-year-old child.
  
  
  CONCLUSIONS
  This case shows the need for rapid diagnosis when there is the suspicion of a puncture wound contaminated with water and soil in tropical regions. We suggest that the aggressive antimicrobial combination used here is considered when this infection is suspected.
authors.affiliation: The Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
authors.forename: James I
authors.initials: JI
authors.lastname: Campbell
authors.forename: Nguyen Phu Huong
authors.initials: NP
authors.lastname: Lan
authors.forename: Phan Tu
authors.initials: PT
authors.lastname: Qui
authors.forename: Le Thi
authors.initials: le T
authors.lastname: Dung
authors.forename: Jeremy J
authors.initials: JJ
authors.lastname: Farrar
authors.forename: Stephen
authors.initials: S
authors.lastname: Baker
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D016470:Bacteremia / Q000188:drug therapy* / Q000382:microbiology; D015373:Bacterial Typing Techniques; D002675:Child, Preschool; D002861:Chromobacterium / Q000302:isolation & purification*; D004359:Drug Therapy, Combination; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D008297:Male; D014744:Vietnam; D014950:Wounds, Penetrating / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents