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Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Ochrobactrum anthropi bacteraemia in immunocompetent children
Emmanouil Galanakis1, Maria Bitsori, Georgios Samonis
1Department of Paediatrics, University of Crete, Heraklion, Greece. egalanak@med.uoc.gr
Insights
Ochrobactrum anthropi can cause bloodstream infections in healthy children, presenting with common symptoms and rapid recovery. Further research is needed to determine if it
Area of Science:
- Medical Microbiology
- Pediatric Infectious Diseases
Background:
- Ochrobactrum anthropi is recognized as an emerging pathogen, primarily affecting immunocompromised individuals.
- Documented infections in immunocompetent hosts are rare, necessitating further investigation into its role in this population.
Purpose of the Study:
- To characterize Ochrobactrum anthropi bloodstream infections (bacteremia) in immunocompetent children.
- To describe the clinical presentation, laboratory findings, and outcomes of these infections.
Main Methods:
- Retrospective case series analysis of 11 immunocompetent children diagnosed with O. anthropi bacteremia over a 5-year period.
- Review of clinical data, including symptoms, physical examination findings, and laboratory results (blood cultures, white blood cell counts).
Main Results:
- Eleven immunocompetent children (2 months to 7 years) experienced O. anthropi bacteremia.
- Common presentations included fever, non-specific respiratory or gastrointestinal symptoms, leukocytosis, and neutrophilia.
- All patients demonstrated rapid recovery, with negative subsequent blood cultures, regardless of specific treatment.
Conclusions:
- Ochrobactrum anthropi can cause bacteremia in immunocompetent children.
- The bacterium may represent a low-virulence pathogen or transient bloodstream contaminants (pseudobacteraemia) in this population.
- Further studies are required to elucidate the clinical significance of O. anthropi bacteremia in healthy hosts.
Abstract:
Ochrobactrum anthropi is an emerging pathogen in immunocompromised patients but infections with the bacterium have very rarely been documented in normal hosts. We report the characteristics of O. anthropi bacteraemia in 11 immunocompetent children, aged 2 months to 7 y, hospitalized in a general hospital during a 5-y period. Children commonly presented with fever, non-specific respiratory or gastrointestinal manifestations, leukocytosis and neutrophilia and had a rapid recovery, even when they did not receive a specific treatment. In 10 cases positive blood cultures were obtained on admission and in all cases subsequent cultures were sterile. In conclusion, O. anthropi may cause bacteraemia in immunocompetent hosts, although further studies are required to clarify whether these isolates represent pseudobacteraemia or whether O. anthropi is a potential pathogen of low virulence.
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