title: Chromobacterium haemolyticum-induced bacteremia in a healthy young man.
abstract: BACKGROUND
  The genus Chromobacterium consists of 7 recognized species. Among those, only C. violaceum, commonly found in the soil and water of tropical and subtropical regions, has been shown to cause human infection. Although human infection is rare, C. violaceum can cause life-threatening sepsis, with metastatic abscesses, most frequently infecting those who are young and healthy.
  
  
  METHODS
  We recently identified a case of severe bacteremia caused by Chromobacterium haemolyticum infection in a healthy young patient following trauma and exposure to river water, in Japan. The patient developed necrotizing fasciitis that was successfully treated with a fasciotomy and intravenous ciprofloxacin and gentamicin.
  
  
  CONCLUSIONS
  C. haemolyticum should be considered in the differential diagnosis of skin lesions that progressively worsen after trauma involving exposure to river or lake water, even in temperate regions. Second, early blood cultures for the isolation and identification of the causative organism were important for initiating proper antimicrobial therapy.
authors.affiliation: Department of Emergency and Critical Care Medicine, Ohta Nishinouchi Hospital, 2-5-20 Nishinouchi, 963-8558 Koriyama, Fukushima, Japan.
authors.forename: Megumi
authors.initials: M
authors.lastname: Okada
authors.forename: Ryota
authors.initials: R
authors.lastname: Inokuchi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Shinohara
authors.forename: Akinori
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Yuko
authors.initials: Y
authors.lastname: Ono
authors.forename: Masashi
authors.initials: M
authors.lastname: Narita
authors.forename: Tokiya
authors.initials: T
authors.lastname: Ishida
authors.forename: Chiba
authors.initials: C
authors.lastname: Kazuki
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakajima
authors.forename: Naoki
authors.initials: N
authors.lastname: Yahagi
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D002861:Chromobacterium / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008297:Male; D045483:Rivers / Q000382:microbiology*; D014947:Wounds and Injuries / Q000150:complications