[Pharyngitis due to Burkholderia cepacia. Person-to-person transmission]

M Fajardo Olivares1, J L Cordero Carrasco, A Beteta López

  • 1Sección de Microbiología, Hospital Universitario Perpetuo Socorro, Damián Téllez Lafuente, s/n. 06010 Badajoz, Spain. mfolivares@eresmas.com

Insights

Burkholderia cepacia can cause pharyngitis in healthy individuals. Rapid diagnosis and treatment are crucial for resolving this bacterial infection, even in immunocompetent patients.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Burkholderia cepacia is a Gram-negative bacillus commonly found in natural environments.
  • It is known to cause nosocomial infections, particularly in immunocompromised individuals.
  • Transmission typically occurs via contaminated medical supplies or fomites.

Observation:

  • A case of pharyngitis caused by Burkholderia cepacia is presented.
  • The infection rapidly transmitted between two immunocompetent twin siblings.
  • No underlying health conditions were noted in the affected individuals.

Findings:

  • Burkholderia cepacia successfully treated with specific antimicrobial therapy.
  • The infection resolved completely in both siblings.
  • This highlights the potential for B. cepacia to cause acute infections in healthy individuals.

Implications:

  • Suggests the need for pharyngeal and nasal sampling in non-responsive upper respiratory tract infections.
  • Challenges the assumption of viral etiology in certain acute respiratory conditions.
  • Emphasizes considering B. cepacia in the differential diagnosis of unexplained pharyngitis.

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