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Identification of Rare Bacterial Pathogens by 16S rRNA Gene Sequencing and MALDI-TOF MS
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Gardener's Nightmare: A Rare Case of Myroides-Induced Septic Shock

Rucci Marcus Foo1, Sushant M Nanavati2, Anish Samuel2

  • 1Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Cureus
|January 27, 2021
PubMed

Insights

Myroides species infections are rare but concerning, especially in immunocompromised individuals. This case highlights a pan-resistant infection in an elderly patient, emphasizing the need for clinical awareness and prompt treatment.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Clinical Case Reports

Background:

  • Myroides species are uncommon environmental bacteria.
  • These isolates are increasingly recognized as a source of infection, particularly in immunocompromised patients.
  • The emergence of pan-resistance in Myroides poses a significant healthcare challenge.

Observation:

  • An elderly, home-bound female patient developed Myroides septicemia.
  • Despite no direct environmental exposure, the patient contracted the infection, possibly through family contact with contaminated soil.
  • The septicemia progressed to septic shock and demonstrated resistance to standard empiric antibiotics.

Findings:

  • The patient was successfully treated with carbapenem antibiotics.
  • This case underscores the potential for Myroides infections even in seemingly low-risk individuals.
  • The isolate exhibited pan-resistance, a critical concern in managing infections.

Implications:

  • Clinicians should maintain a high index of suspicion for Myroides infections in immunocompromised patients.
  • Prompt diagnosis and appropriate antibiotic selection, such as carbapenems, are crucial for successful treatment.
  • Increased awareness and surveillance are necessary to combat the growing threat of antibiotic-resistant Myroides infections.
Keywords:
contaminated soilimmunosuppressionmulti-drug resistant bacteriamyroidesseptic shock

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