Rare Pathogen in Pediatric Patients: Chryseobacterium gleum Sepsis
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Chryseobacterium gleum is a pathogen that is widespread in nature but rarely causes infections in humans. Most reported cases are nosocomial and are often associated with immunosuppression or indwelling catheters. In this study, we aimed to report a case of C. gleum-associated bacteremia. An 11 -year -old pediatric patient was admitted to the emergency department due to respiratory distress and transferred to the intensive care unit for treatment. On the 28 th day of hospitalization, the patient was diagnosed with sepsis, and the blood culture samples taken from the patient were sent to the medical microbiology laboratory. The morphologic gram -negative bacilli were identified as Chryseobacterium indologenes with the VITEK 2 Compact identification system (bioM & eacute;rieux, France) using the VITEK 2 GN ID card (bioM & eacute;rieux, France). To confirm the pathogen, the strain was also analyzed using the MALDITOF MS method, and the pathogen was identified as C. gleum. Using the VITEK 2 AST card (bioM & eacute;rieux, France), the pathogen was found to be sensitive to trimethoprim-sulfamethoxazole; sensitive to ciprofloxacin at high doses; resistant to amikacin, meropenem, imipenem, cefepime, piperacillin-tazobactam and aztreonam. The multidrug resistance of C. gleum makes this microorganism a worrying new pathogen. It is, therefore, important to monitor C. gleum as a possible cause of infection in patients with corresponding risk factors.