Title |
Chromobacterium violaceum infection in Brazil. A case report
|
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Published in |
Revista do Instituto de Medicina Tropical de Sao Paulo, May 2000
|
DOI | 10.1590/s0036-46652000000200008 |
Pubmed ID | |
Authors |
Roberto MARTINEZ, Maria Angeles Sanches L. VELLUDO, Vanda Roseli dos SANTOS, Paula Vanessa DINAMARCO |
Abstract |
We report the second case of infection with Chromobacterium violaceum that occurred in Brazil. A farm worker living in the State of São Paulo presented fever and severe abdominal pain for four days. At hospitalization the patient was in a toxemic state and had a distended and painful abdomen. Chest X-ray and abdominal ultrasound revealed bilateral pneumonia and hypoechoic areas in the liver. The patient developed failure of multiple organs and died a few hours later. Blood culture led to isolation of C. violaceum resistant to ampicillin and cephalosporins and sensitive to chloramphenicol, tetracyclin, aminoglicosydes, and ciprofloxacin. Autopsy revealed pulmonary microabscesses and multiple abscesses in the liver. The major features of this case are generally observed in infections by C. violaceum: rapid clinical course, multiple visceral abscesses, and high mortality. Because of the antimicrobial resistance profile of this Gram-negative bacillus, for appropriate empirical antibiotic therapy it is important to consider chromobacteriosis in the differential diagnosis of severe community infections in Brazil. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 1 | 3% |
Unknown | 36 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 6 | 16% |
Researcher | 5 | 14% |
Student > Master | 5 | 14% |
Professor > Associate Professor | 4 | 11% |
Student > Postgraduate | 3 | 8% |
Other | 6 | 16% |
Unknown | 8 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 27% |
Agricultural and Biological Sciences | 5 | 14% |
Biochemistry, Genetics and Molecular Biology | 3 | 8% |
Engineering | 2 | 5% |
Immunology and Microbiology | 2 | 5% |
Other | 4 | 11% |
Unknown | 11 | 30% |