title: Septic shock caused by Elizabethkingia meningoseptica: a case report and review of literature.
abstract: A 70-year-old woman, resident of a nursing home presented with complaints of fever for 1 day. Initial history, physical examination and laboratory tests were consistent with the diagnosis of systemic inflammatory response syndrome; blood culture from peripheral and central perm catheter were sent. Patient was started on empiric antibiotics and aggressive hydration. Blood cultures from peripheral access and central perm catheter grew Elisabethkingia meningoseptica on the second day. Patient was transferred to the intensive care unit for septic shock where patient needed vasopressors. Antibiotics were switched to intravenous trimethoprim-sulfamethoxazole, perm catheter was removed and catheter tip culture was sent. Catheter tip grew E meningoseptica (45 colony forming units). Patient showed excellent treatment response to intravenous trimethoprim-sulfamethoxazole and was weaned off pressors on day 4 with uneventful stay afterwards.
authors.affiliation: Department of Internal Medicine, Saint Joseph Hospital, Chicago, Illinois, USA.
authors.forename: Su Hyeon
authors.initials: SH
authors.lastname: Jung
authors.forename: Boeun
authors.initials: B
authors.lastname: Lee
authors.forename: Aibek E
authors.initials: AE
authors.lastname: Mirrakhimov
authors.forename: Nasir
authors.initials: N
authors.lastname: Hussain
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D055499:Catheter-Related Infections / Q000382:microbiology* / Q000628:therapy; D045247:Chryseobacterium / Q000302:isolation & purification*; D005260:Female; D045826:Flavobacteriaceae Infections / Q000382:microbiology* / Q000628:therapy; D005440:Fluid Therapy; D006801:Humans; D012772:Shock, Septic
chemical_list: D000900:Anti-Bacterial Agents
references.citation: Medicine (Baltimore). 1997 Jan;76(1):30-41
references.pmid: 9064486
references.citation: J Clin Microbiol. 1997 Dec;35(12):3323-4
references.pmid: 9399547
references.citation: J Microbiol Immunol Infect. 2008 Apr;41(2):137-44
references.pmid: 18473101
references.citation: Eur J Clin Microbiol Infect Dis. 2011 Oct;30(10):1271-8
references.pmid: 21461847
references.citation: J Clin Microbiol. 2004 Jan;42(1):445-8
references.pmid: 14715802
references.citation: J Bone Joint Surg Am. 2010 Jun;92(6):1501-6
references.pmid: 20516326
references.citation: Int J Pediatr. 2011;2011:215237
references.pmid: 22046191
references.citation: Clin Microbiol Infect. 2001 Jul;7(7):391-3
references.pmid: 11531991
references.citation: Scand J Infect Dis. 2009;41(9):628-34
references.pmid: 19579148
references.citation: Diagn Microbiol Infect Dis. 2008 Jan;60(1):89-93
references.pmid: 17889489
references.citation: Am J Dis Child. 1961 Mar;101:289-95
references.pmid: 13689663
references.citation: Infect Control Hosp Epidemiol. 2010 Jan;31(1):54-8
references.pmid: 19929372
references.citation: Int J Syst Evol Microbiol. 2005 May;55(Pt 3):1287-1293
references.pmid: 15879269
references.citation: Antimicrob Agents Chemother. 1997 Dec;41(12):2738-41
references.pmid: 9420049
references.citation: Br Med J. 1963 Dec 14;2(5371):1528-9
references.pmid: 14077806
references.citation: J Hosp Infect. 2001 Mar;47(3):188-92
references.pmid: 11247678
references.citation: Am J Clin Pathol. 1959 Mar;31(3):241-7
references.pmid: 13637033
references.citation: Am J Infect Control. 2008 Aug;36(6):453-7
references.pmid: 18675153