title: Chryseobacterium indologenes in a woman with metastatic breast cancer in the United States of America: a case report.
abstract: BACKGROUND
  We report the seventh case of Chryseobacterium indologenes occurring in the United States of America. C. indologenes is seldom isolated from clinical specimens but has caused hospital-acquired infections in Taiwan and rarely elsewhere.
  
  
  METHODS
  A 32-year-old Caucasian woman with metastatic breast cancer presented to a hospital emergency department with bilateral radiation-induced pleural effusions and respiratory failure. The patient was hospitalized and ventilated for 26 days; tracheal aspirates collected on ventilation days 24 and 26 grew C. indologenes. The patient subsequently died as a result of worsening ventilator-associated pneumonia and stage IV breast cancer.
  
  
  CONCLUSIONS
  C. indologenes infection should be considered for hospitalized patients with a history of malignancy, especially those with indwelling devices and antibiotic use for >14 days.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333, USA. syasmin@cdc.gov.
authors.forename: Seema
authors.initials: S
authors.lastname: Yasmin
authors.forename: Greg
authors.initials: G
authors.lastname: Garcia
authors.forename: Tammy
authors.initials: T
authors.lastname: Sylvester
authors.forename: Rebecca
authors.initials: R
authors.lastname: Sunenshine
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