Infection and Drug Resistance (Oct 2021)

Sepsis Due to Bloodstream Ralstonia mannitolilytica Infection After Surgical Treatment of Perianal Abscess: A Case Report

  • Tu J,
  • Tu L,
  • Jiang Y,
  • Fu H,
  • Mai Z,
  • Wu X,
  • Xu B

Journal volume & issue
Vol. Volume 14
pp. 4441 – 4445

Abstract

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Jiamin Tu,1 Lei Tu,1 Yinping Jiang,2 Honghao Fu,1 Zijuan Mai,3 Xianglin Wu,4 Bing Xu1 1Department of Proctology, University of Chinese Academy of Science Shenzhen Hospital (GuangMing), Shenzhen, 518100, People’s Republic of China; 2Department of Chinese Medicine, University of Chinese Academy of Science Shenzhen Hospital (GuangMing), Shenzhen, 518100, People’s Republic of China; 3Department of Medical Record Statistics Section, University of Chinese Academy of Science Shenzhen Hospital (GuangMing), Shenzhen, 518100, People’s Republic of China; 4Department of Laboratory, University of Chinese Academy of Science Shenzhen Hospital (GuangMing), Shenzhen, 518100, People’s Republic of ChinaCorrespondence: Jiamin TuDepartment of Proctology, University of Chinese Academy of Science Shenzhen Hospital (GuangMing), No. 4253 Songbai Road, Guangming District, Shenzhen, 518100, People’s Republic of ChinaTel +8615889790570Email [email protected]: Ralstonia mannitolilytica can cause opportunistic infections. Reports on this pathogen identified in the bloodstream are rare worldwide, especially in China.Case Description: We describe a 48-year-old man who developed sepsis due to bloodstream Ralstonia mannitolilytica infection after surgery for a perianal abscess. His condition deteriorated into multiple organ dysfunction syndromes until susceptible antibiotics (ceftriaxone and levofloxacin) were administrated based on the drug sensitivity test results. The patient had a satisfactory recovery with no complications during a 6-month follow-up period.Conclusion: Ralstonia mannitolilytica blood-borne infection in patients evolves rapidly. The inconsistent sensitivity to antibiotics makes timely treatment difficult and can lead to serious complications. We report the clinical presentations and treatment outcomes for this patient here to remind clinicians about this rare opportunistic pathogen and to highlight the importance of bacterial culture, especially for immunocompromised patients.Keywords: Ralstonia mannitolilytica, sepsis, shock, perianal abscess, multiple organ dysfunction syndrome

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