title: Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases.
abstract: Ralstonia pickettii is a low-virulence gram-negative bacillus that may be associated with infections related to health care and may cause bacteremia. Ralstonia pickettii bacteremia is uncommon but is related to the contamination of medical products, mainly in immunodepressed patients. We present two cases of patients on chronic hemodialysis with Ralstonia pickettii bacteremia linked to contamination of the dialysis water. Similar cases have been published with links to intravenous fluid administration, medication ampules, and the use of extracorporeal oxygenation membranes, among other factors. The detection of Ralstonia pickettii bacteremia should provoke suspicion and a search for contaminated medical products, fluids, and/or medications.
authors.affiliation: Asociación Española, Montevideo, Uruguay.
authors.forename: Darwin
authors.initials: D
authors.lastname: Tejera
authors.affiliation: Asociación Española, Montevideo, Uruguay.
authors.forename: Gino
authors.initials: G
authors.lastname: Limongi
authors.affiliation: Asociación Española, Montevideo, Uruguay.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Bertullo
authors.affiliation: Asociación Española, Montevideo, Uruguay.
authors.forename: Mario
authors.initials: M
authors.lastname: Cancela
mesh_terms: D000368:Aged; D016470:Bacteremia / Q000209:etiology* / Q000382:microbiology; D003428:Cross Infection / Q000209:etiology / Q000382:microbiology; D015314:Dialysis Solutions / Q000592:standards*; D016905:Gram-Negative Bacterial Infections / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D049920:Ralstonia pickettii / Q000302:isolation & purification*; D006435:Renal Dialysis / Q000009:adverse effects*
chemical_list: D015314:Dialysis Solutions