title: Bordetella trematum sepsis with shock in a diabetic patient with rapidly developing soft tissue infection.
abstract: Bordetella is a gram-negative, glucose non-fermenting bacillus, consisting of many host-associated species. B. trematum has previously been identified in wound infections, but rarely known to be a source of bacteremia. Currently, 16S rRNA sequencing represents the reference standard method by which identification is made. Herein, we present a case of fatal B. trematum bacteremia with septic shock. The presumed primary site of the infection was a rapidly developing left leg deep soft tissue infection without necrotizing fasciitis. B. trematum should now be considered as a significant pathogen in sepsis.
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, 1356 Lusitana Street, 7th floor, Honolulu, HI, 96813, USA. Electronic address: lorrance@hawaii.edu.
authors.forename: Lorrance L
authors.initials: LL
authors.lastname: Majewski
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, 1356 Lusitana Street, 7th floor, Honolulu, HI, 96813, USA.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nogi
authors.affiliation: Department of Pathology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo Street, Medical Education Building, Honolulu, HI, 96813, USA; Department of Tropical Medicine, Medical Microbiology and Pharmacology, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo Street, Biosciences Building, 3rd Floor, Honolulu, HI, 96813, USA; Diagnostic Laboratory Services, Inc. (The Queen's Medical Center), 99-859 Iwaiwa Street, Aiea, HI, 96701, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Bankowski
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, 1356 Lusitana Street, 7th floor, Honolulu, HI, 96813, USA.
authors.forename: Heath H
authors.initials: HH
authors.lastname: Chung
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001884:Bordetella / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D001885:Bordetella Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D006801:Humans; D007866:Leg / Q000473:pathology; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D017422:Sequence Analysis, DNA; D012772:Shock, Septic / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D018461:Soft Tissue Infections / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S
keywords: Bacteremia; Bordetella trematum; Sepsis; Shock; Soft tissue infection