title: Two cases of chronic suppurative otitis media caused by Kerstersia gyiorum in Tanzania: is it an underappreciated pathogen in chronic otitis media?
abstract: Two cases of mixed infection involving Kerstersia gyiorum causing chronic suppurative otitis media (CSOM) have been reported worldwide. We report, for the first time, two cases of CSOM due to mixed infections involving K. gyiorum in adults in Africa. Both isolates were intermediate susceptible to ciprofloxacin based on European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoints.
authors.affiliation: Department of Surgery, Weill Bugando School of Medicine, Mwanza, Tanzania.
authors.forename: Alfred
authors.initials: A
authors.lastname: Mwalutende
authors.affiliation: Department of Microbiology and Immunology, Weill Bugando School of Medicine, CUHAS-Bugando, PO Box 1464, Mwanza, Tanzania.
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Mshana
authors.affiliation: Department of Microbiology and Immunology, Weill Bugando School of Medicine, CUHAS-Bugando, PO Box 1464, Mwanza, Tanzania. Electronic address: mmmirambo@gmail.com.
authors.forename: Mariam M
authors.initials: MM
authors.lastname: Mirambo
authors.affiliation: Department of Microbiology and Immunology, Weill Bugando School of Medicine, CUHAS-Bugando, PO Box 1464, Mwanza, Tanzania.
authors.forename: Martha F
authors.initials: MF
authors.lastname: Mushi
authors.affiliation: Department of Surgery, Weill Bugando School of Medicine, Mwanza, Tanzania.
authors.forename: Philipo L
authors.initials: PL
authors.lastname: Chalya
authors.affiliation: Department of Surgery, Weill Bugando School of Medicine, Mwanza, Tanzania.
authors.forename: Japhet M
authors.initials: JM
authors.lastname: Giliyoma
authors.affiliation: Institute of Medical Microbiology, University Medical Centre, Göttingen, Germany.
authors.forename: Wilhelm
authors.initials: W
authors.lastname: Schneiderhan
authors.affiliation: Institute of Medical Microbiology, University Medical Centre, Göttingen, Germany.
authors.forename: Ortrud
authors.initials: O
authors.lastname: Zimmermann
authors.affiliation: Institute of Medical Microbiology, University Medical Centre, Göttingen, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Groß
mesh_terms: D000328:Adult; D042401:Alcaligenaceae / Q000302:isolation & purification*; D002908:Chronic Disease; D060085:Coinfection / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013636:Tanzania
keywords: Chronic suppurative otitis media; Kerstersia gyiorum