Fever in a Patient with a Central Venous Catheter Colonized by Pandoraea pnomenusa

Authors

  • Susana Ramos Oliveira Serviço de Doenças Infecciosas. Hospital Pedro Hispano. Matosinhos. Unidade Local de Saúde de Matosinhos.
  • Isabel Costa Monteiro Serviço de Medicina Interna. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos.
  • Cristina Rodrigues Serviço de Medicina Interna. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos.
  • Maria João Soares Sector de Microbiologia. Serviço de Patologia Clínica. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos.

DOI:

https://doi.org/10.20344/amp.16176

Keywords:

Catheter-Related Infections, Central Venous Catheters/adverse effects, Fever, Pandoraea pnomenusa

Abstract

Pandoraea species are a newly described genus of multidrug-resistant, non-fermentative Gram-negative bacilli, mainly isolated from sputum samples of cystic fibrosis patients. In immunocompromised patients or with high antibiotic selective pressure, these pathogens are generally opportunistic and invasive. Although Pandoraea spp. are rare, the true incidence of these infections may be underestimated due to difficulties in microbial identification by phenotypic methods. We present the case of a 51-year-old woman, with new-onset fever after a prolonged hospitalization and multiple courses of antibiotics. Mass spectrometry assays identified Pandoraea pnomenusa in the blood cultures taken from the central venous catheter and in the catheter tip. Fever cessation after catheter removal suggests a catheter-related bloodstream infection. To the best of our knowledge, this is the first isolation of a Pandoraea spp. in Portugal, which should raise awareness to the emergence of these opportunistic and multidrug-resistant microorganisms, and the importance of its prompt identification.

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Published

2022-05-23

How to Cite

1.
Ramos Oliveira S, Costa Monteiro I, Rodrigues C, Soares MJ. Fever in a Patient with a Central Venous Catheter Colonized by Pandoraea pnomenusa. Acta Med Port [Internet]. 2022 May 23 [cited 2022 Dec. 1];. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16176

Issue

Section

Case Report