2018, Cilt 48, Sayı 2, Sayfa(lar) 147-151 |
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An Uncommon Cause of Bacteremia: Comamonas testosteroni |
Gülseren SAMANCI AKTAR1, Zeynep AYAYDIN1, Arzu RAHMANALI ONUR1, Demet GÜR VURAL2, Hakan TEMİZ1 |
1Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Mikrobiyoloji Laboratuvarı, Diyarbakır 2Gebze Fatih Devlet Hastanesi, Mikrobiyoloji Laboratuvarı, Kocaeli |
Keywords: Comamonas testosteroni, blood culture, bacteremia |
Comamonas species are one of the numerous genera and
species of the Pseudomonas group. Among Comamonas
species, Comamonas testosteroni is a rare cause of infections
in immunocompromised individuals. Herein, we present a
case to emphasize that C. testosteroni could be a causative
agent of bacteremia in immunocompromised patients with a
history of neutropenia and to determine antibiotic susceptibility
of the strain. Blood culture sample of a 30-year-old female
patient, who was admitted to the Hematology Clinic for
leukopenia, was transferred to our laboratory and then was
loaded into the Bactec 9120 (Becton Dickinson, USA)
automated blood culture system. The gram-negative bacillilike,
catalase- and oxidase-positive colonies grown in the
blood culture were then loaded into an automated identification
system VITEK-2 Compact (bioMérieux, France). The strain,
which was identified as C. testosteroni, was transferred to the
Microbiology Laboratory of Marmara University Pendik
Training and Research Hospital for verification using the
matrix-assisted laser desorption ionization-time of flight mass
spectrometry (MALDI-TOF MS; Bruker Daltonics, Bremen,
Germany). Accordingly, we aimed to determine antibiotic
susceptibility pattern of C. testosteroni grown in our patient
with leukopenia whose immune system was compromised due
to spontaneous abortion. Accordingly, C. testosteroni, which
was found to be moderately susceptible to ampicillin, was
found to be susceptible to amoxicillin/clavulanic acid,
piperacillin/tazobactam, cefuroxime, cefoxitin, cefoperazone/
sulbactam, trimethoprim/sulfamethoxazole, amikacin,
gentamicin, ciprofloxacin, fosfomycin, imipenem and
meropenem but resistant to cefixime and ceftazidime.
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