Treatment of Chryseobacterium indologenes Ventilator-Associated Pneumonia in a Critically Ill Trauma Patient

Megan R. Monteen, Supriya Ponnapula, G Christopher Wood, Martin Croce, Joseph Swanson, Bradley Boucher, Timothy C. Fabian

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To report a case of Chryseobacterium indologenes ventilator-associated pneumonia (VAP) in a critically ill trauma patient. Case Summary: This report describes a 66-year-old critically ill trauma patient who developed VAP, which was caused by C indologenes. The patient was injured in a riding lawn mower accident that trapped him underwater in a pond. The patient required surgery for intra-abdominal injuries and was mechanically ventilated in the trauma intensive care unit. On hospital day 5, the patient developed signs and symptoms of VAP. A diagnosis of C indologenes VAP was confirmed based on a quantitative culture from a bronchoscopic bronchoalveolar lavage. The patient's infection was successfully treated with moxifloxacin for 2 days followed by cefepime for 7 days. Discussion: Formally known as Flavobacterium indologenes, C indologenes is a Gram-negative bacillus normally found in plants, soil, foodstuffs, and fresh and marine water sources. Recently, worldwide reports of C indologenes infections in humans have been increasing, though reports from the United States are still rare. Bacteremia and pneumonia are the most commonly reported infections, and most patients are immunocompromised. The current case differs from most previous reports because this patient was in the United States and did not have any traditional immunocompromised states (eg, transplant, cancer, HIV/AIDS, or corticosteroid use). Conclusion: This case report demonstrates that C indologenes can cause VAP in a trauma ICU patient.

Original languageEnglish (US)
Pages (from-to)1736-1739
Number of pages4
JournalAnnals of Pharmacotherapy
Volume47
Issue number12
DOIs
StatePublished - Dec 1 2013

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Chryseobacterium
Ventilator-Associated Pneumonia
Critical Illness
Wounds and Injuries
Therapeutics
Infection
Flavobacterium
Abdominal Injuries
Immunocompromised Host
Bronchoalveolar Lavage
Bacteremia
Fresh Water
Bacillus
Signs and Symptoms
Accidents
Intensive Care Units
Pneumonia
Adrenal Cortex Hormones
Acquired Immunodeficiency Syndrome
Soil

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

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Treatment of Chryseobacterium indologenes Ventilator-Associated Pneumonia in a Critically Ill Trauma Patient. / Monteen, Megan R.; Ponnapula, Supriya; Wood, G Christopher; Croce, Martin; Swanson, Joseph; Boucher, Bradley; Fabian, Timothy C.

In: Annals of Pharmacotherapy, Vol. 47, No. 12, 01.12.2013, p. 1736-1739.

Research output: Contribution to journalArticle

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