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Roseomonas Species Bacteremia With Associated Endocarditis and Possible CNS Septic Embolic Phenomenon

Jose A Rodriguez1, Alexis C Gushiken2

  • 1Infectious Diseases, University of Florida, Gainesville, USA.

Cureus
|July 14, 2023
PubMed

Insights

Roseomonas species, a rare bacterium, can cause serious infections like endocarditis. Prompt diagnosis and appropriate antibiotic treatment, such as carbapenems, are crucial for managing Roseomonas infections.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Cardiology

Background:

  • Roseomonas species are increasingly recognized as opportunistic pathogens.
  • Infections can manifest in various forms, including bacteremia and endocarditis.

Observation:

  • A 60-year-old male presented with neurological symptoms and signs of systemic illness.
  • He was diagnosed with lactic acidosis, acute kidney injury, and an 11 mm brain hemorrhage.
  • Blood cultures identified Roseomonas species, and transesophageal echocardiogram revealed aortic valve vegetations.

Findings:

  • The patient was successfully treated with meropenem and subsequently Ertapenem.
  • Roseomonas mucosa was identified as a potential cause of infective endocarditis.
  • Antimicrobial susceptibility testing indicated carbapenems, fluoroquinolones, or aminoglycosides as preferred treatments.

Implications:

  • This case highlights the importance of considering Roseomonas in patients with severe infections and neurological complications.
  • Early recognition and prompt administration of appropriate antimicrobial therapy are vital for favorable outcomes.
  • Further research into Roseomonas infections and their management is warranted.
Keywords:
bacteremiadrug susceptibility testing and antibiotic resistanceendocarditisroseomonasseptic emboli

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