title: Bacteremia caused by a rare pathogen -Chromobacterium violaceum: a case report from Nepal.
abstract: Chromobacterium violaceumis a gram negative saprophytic bacterium, prevalent in tropical and subtropical climates. Infections caused byC. violaceumare very uncommon, yet it can cause severe systemic infections with higher mortality when entered into the bloodstream through open wound. A case of symptomatic bacteremia in a woman caused byC. violaceumwas identified recently at a tertiary care teaching hospital in Nepal. Timely diagnosis by microbiological methods and rapid administration of antimicrobials led to a successful treatment of this life-threatening infection in this case. From this experience, we suggest to include this bacterium in the differential diagnosis of sepsis, especially when abraded skin is exposed to soil or stagnant water in tropical areas. The precise antimicrobial selection and timely administration should be considered when this infection is suspected.
authors.affiliation: Department of Clinical Laboratory Services, Manmohan Memorial Medical College and Teaching Hospital, Kathmandu; Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Narayan Prasad
authors.initials: NP
authors.lastname: Parajuli
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Anjeela
authors.initials: A
authors.lastname: Bhetwal
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Sumitra
authors.initials: S
authors.lastname: Ghimire
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Anjila
authors.initials: A
authors.lastname: Maharjan
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Shreena
authors.initials: S
authors.lastname: Shakya
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Deepa
authors.initials: D
authors.lastname: Satyal
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Roshan
authors.initials: R
authors.lastname: Pandit
authors.affiliation: Department of Laboratory Medicine, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
authors.forename: Puspa Raj
authors.initials: PR
authors.lastname: Khanal
keywords: Chromobacterium violaceum; Nepal; bacteremia; case report