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Agrobacterium radiobacter: a recently recognized opportunistic pathogen

M B Edmond1, S A Riddler, C M Baxter

  • 1Division of Infectious Diseases, University of Pittsburgh School of Medicine, Presbyterian University Hospital, Pennsylvania.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|March 1, 1993
PubMed
Summary
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Agrobacterium radiobacter infections are rising, often linked to medical devices like catheters. Effective treatment requires device removal and tailored antibiotic therapy based on isolate sensitivity.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases

Background:

  • Agrobacterium radiobacter is an emerging pathogen causing human infections.
  • Previous literature documented significant disease cases, with increasing reports over the last decade.

Observation:

  • Three new cases of bacteremia due to Agrobacterium radiobacter were observed.
  • A review of 19 previously reported significant disease cases was conducted.

Findings:

  • Bacteremia was the primary manifestation in over half of the cases, frequently associated with intravascular catheters.
  • Other reported syndromes include peritonitis, urinary tract infections, and endocarditis.
  • Infections are strongly associated with indwelling plastic foreign materials.

Implications:

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  • Removal of foreign devices is often critical for successful treatment.
  • Antimicrobial sensitivity of Agrobacterium radiobacter isolates is variable.
  • Treatment strategies must be guided by individual isolate susceptibility testing.