title: Chryseobacterium indologenes: an emerging infection in the USA.
abstract: Nursing home-associated infections and antibiotic resistant pathogens constitute common and serious problems in the geriatric population.Chryseobacterium indologenes, a non-motile Gram-negative rod, though widely distributed in nature, is an uncommon human pathogen. Typically thought of as an organism of low virulence, it may cause serious infections, particularly among the immunocompromised. The majority of reported cases are nosocomial, often associated with immunosuppression or indwelling catheters. It has been reported as the causative agent in bacteraemia, peritonitis, pneumonia, empyema, pyelonephritis, cystitis, meningitis and central venous catheter-associated infections. We report a rare case of C. indologenesinfection affecting a nursing home resident in the USA and we provide a review of similar cases. This report emphasises the importance of individualised treatment and promotes awareness about this organism as one of several emerging pathogens in immunocompromised adults and in the frail elderly who are often nursing home residents, in the Western Hemisphere.
authors.affiliation: Graduate Medical Education/Internal Medicine, McLaren-Flint Health Center/Michigan State University, Flint, Michigan, USA.
authors.forename: Ridhwi
authors.initials: R
authors.lastname: Mukerji
authors.affiliation: Graduate Medical Education/Internal Medicine, McLaren-Flint Health Center/Michigan State University, Flint, Michigan, USA.
authors.forename: Radhika
authors.initials: R
authors.lastname: Kakarala
authors.affiliation: Graduate Medical Education/Internal Medicine, McLaren-Flint Health Center/Michigan State University, Flint, Michigan, USA.
authors.forename: Susan Jane
authors.initials: SJ
authors.lastname: Smith
authors.affiliation: Graduate Medical Education/Internal Medicine, McLaren-Flint Health Center/Michigan State University, Flint, Michigan, USA.
authors.forename: Halina G
authors.initials: HG
authors.lastname: Kusz
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D045247:Chryseobacterium / Q000302:isolation & purification; D003428:Cross Infection / Q000175:diagnosis* / Q000188:drug therapy*; D045826:Flavobacteriaceae Infections / Q000175:diagnosis* / Q000188:drug therapy*; D005851:Geriatric Nursing; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D057285:Precision Medicine; D016896:Treatment Outcome; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents