title: Blood stream infection by an emerging pathogen Oligella ureolytica in a cancer patient: case report and review of literature.
abstract: Oligella ureolytica is an emerging bacteria rarely implicated as a human pathogen. It is infrequently recovered from clinical specimens probably because of inadequate processing of non-fermenting oxidase positive Gram negative bacilli. We present here a case of a 30 year old male suffering from right lung adenocarcinoma (moderately differentiated) with multiple abdominal lymph node metastasis with Syringohydromyelia whose blood culture yielded Oligella ureolytica in pure culture. Oligella ureolytica isolation in pure culture and the patient's response to targeted treatment supported that Oligella ureolytica was the true causative agent of the blood stream infection. Early suspicion, diagnosis and treatment with potent antibiotics are needed to prevent further complications resulting from infection with this emerging pathogen.
authors.affiliation: Department of Microbiology, Delhi State Cancer Institute, Dilshad Garden, Delhi, India.
authors.forename: Frincy K
authors.initials: FK
authors.lastname: Baruah
authors.forename: Monica
authors.initials: M
authors.lastname: Jain
authors.forename: Mamta
authors.initials: M
authors.lastname: Lodha
authors.forename: Rajesh K
authors.initials: RK
authors.lastname: Grover
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D000328:Adult; D042401:Alcaligenaceae / Q000302:isolation & purification*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents