Chryseobacterium gleum pneumonia in an infant with nephrotic syndrome. (2016) - Abdalhamid, Baha
Highlights: Chryseobacterium gleum is ubiquitously distributed in the environment. It can cause pneumonia in patients with underlying disease such as nephrotic syndrome especially with medical device use. The treatment of Chryseobacterium is challenging; the patient we presented was treated with levofloxacin. Abstract: Introduction: Chryseobacterium gleum is commonly distributed in the environment. It can cause a wide variety of infections in immunocompromised patients in hospital setting. Case presentation: A 6 month old infant with nephrotic syndrome was admitted to the emergency room for an acute onset of fever, difficulty breathing, cyanosis, and low oral intake. Cultures of endotracheal tube specimens were positive for Chryseobacterium gleum which was confirmed by ribosomal sequencing. The organism was susceptible to trimethoprim-sulfamethoxazole, minocycline, and levofloxacin. The patient clinically improved on levofloxacin treatment. Conclusion: To the best of our knowledge, this is the first case of pneumonia caused by Chryseobacterium gleum in an infant with nephrotic syndrome. It is also the first report of C . gleum causing respiratory tract infection in Saudi Arabia.